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Concurrent Palliative Care for Surgical Patients.

Ana Berlin1, Teresa Johelen Carleton2

  • 1Department of Surgery, Division of General Surgery, Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington Avenue, 5-562, New York, NY 10032, USA; Department of Medicine, Division of Hematology/Oncology, Adult Palliative Medicine Service, Columbia University Medical Center, New York, NY, USA.

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PubMed
Summary

Surgical palliative care should be integrated into routine surgical practice, not seen as separate from surgical intervention. Surgeons are key in managing symptoms and patient goals throughout surgical illness.

Keywords:
Concurrent palliative carePalliative care models of integrationPalliative surgerySurgical palliative careSurgical patients

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Area of Science:

  • Palliative Care
  • Surgical Oncology
  • Surgical Ethics

Background:

  • A misconception exists in surgical culture viewing surgical intervention and palliative care as mutually exclusive.
  • Surgeons are increasingly recognized for their dual role in providing surgical treatment and addressing palliative needs.
  • Effective palliative care is crucial for patients undergoing surgical interventions.

Purpose of the Study:

  • To challenge the notion that surgical intervention and palliative care are mutually exclusive.
  • To highlight the integral role of surgeons in delivering palliative care.
  • To define the components of surgical palliative care within routine surgical practice.

Main Methods:

  • Literature review on surgical palliative care integration.
  • Analysis of the surgeon's role in managing palliative needs.
  • Definition of key elements of surgical palliative care.

Main Results:

  • Surgical intervention and palliative care are not mutually exclusive but can be integrated.
  • Surgeons are essential in providing palliative care, managing symptoms, and aligning treatment with patient values.
  • Surgical palliative care encompasses symptom management, communication, and goal identification.

Conclusions:

  • Surgical palliative care should be a standard component of surgical practice, delivered by surgical teams.
  • Integrating palliative care enhances patient outcomes and aligns with modern surgical responsibilities.
  • Various models exist for accessing specialty palliative care services to support surgical patients.