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Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
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A difference amplifier, a crucial component in numerous electronic devices, ideally amplifies only the difference-mode signal, which is the difference between two input signals. However, in practical circuits, the output voltage depends on both the differential gain and the common-mode gain.
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[Multidisciplinary oncopalliative meeting: Aims and pratical recommendations].

François Goldwasser1, Nathalie Nisenbaum2, Pascale Vinant3

  • 1AP-HP, HUPC, GH Cochin-Port-Royal, oncologie médicale, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.

Bulletin Du Cancer
|March 24, 2018
PubMed
Summary

Managing metastatic cancer requires advanced care planning. A multidisciplinary approach integrating palliative care specialists and oncologists is crucial for respecting patient wishes and improving care in non-curable diseases.

Keywords:
Anticipated discussionsClaeys-Leonetti lawDiscussions anticipéesEarly palliative careLoi Claeys-LéonettiMédecine palliativeOnco-palliative multidisciplinary meetingPalliative medicineRéunion de concertation pluridisciplinaire onco-palliativeSoins palliatifs

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Area of Science:

  • Oncology
  • Palliative Care
  • Medical Ethics

Background:

  • Metastatic cancer survival is increasing, necessitating complex care decisions beyond evidence-based medicine.
  • Current medical practice requires a shift from informed consent to respecting patient wishes, even with uncertain benefit/risk ratios.
  • Effective decision-making in advanced cancer care demands realistic patient information and discussion of prognostication.

Purpose of the Study:

  • To propose a structured approach for multidisciplinary onco-palliative meetings.
  • To emphasize the importance of integrating palliative care early in non-curable cancer treatment.
  • To facilitate patient-centered care by respecting their wishes in complex medical situations.

Main Methods:

  • Development of a 10-step framework for organizing multidisciplinary onco-palliative meetings.
  • Review of existing recommendations, such as those from the American Society of Clinical Oncology (ASCO), on early palliative care.
  • Focus on the crucial timing and quality of discussions between palliative care specialists and oncologists.

Main Results:

  • A structured 10-step meeting model is proposed for effective onco-palliative care coordination.
  • Early integration of palliative care is highlighted as essential for managing non-curable diseases.
  • The framework aims to enhance communication and shared decision-making in complex cancer care.

Conclusions:

  • Multidisciplinary onco-palliative meetings are key to organizing care for patients with non-curable diseases.
  • Respecting patient wishes, even when complex to ascertain, is paramount in advanced cancer care.
  • Improved collaboration between oncology and palliative care improves the quality of life and care decisions for patients.