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Palliative Care: Too Good to Be True?
Helen Senderovich1,2, Kristen McFadyen3
1Geriatrics & Palliative Care & Pain Medicine, Baycrest Health Sciences, Toronto, Ontario, Canada.
Rambam Maimonides Medical Journal
|March 28, 2020
Summary
Palliative care (PC) offers significant benefits for patients with serious illnesses, reducing suffering and hospitalizations. Early integration of PC alongside traditional treatments is crucial, despite existing barriers to access and training.
Area of Science:
- Palliative Care
- Oncology
- Geriatrics
- Public Health
Background:
- Millions in the US require palliative care (PC), with demand projected to rise due to an aging population and increased chronic illnesses.
- Patient and family hesitancy to engage with PC teams remains a significant challenge.
- Traditional views limited PC to end-of-life care, overlooking its broader applicability.
Purpose of the Study:
- To review the significance of palliative care (PC).
- To provide a holistic overview of PC benefits and barriers.
- To emphasize the value of early PC integration.
Main Methods:
- Comprehensive literature search of major databases (PubMed, Cochrane, Web of Science) from 1948-2019.
- Inclusion of peer-reviewed journal articles.
- Narrative approach for grey literature search.
Main Results:
- Palliative care (PC) is beneficial for patients with life-threatening illnesses, not just terminal ones.
- Early initiation of PC alongside disease-modifying therapies improves outcomes.
- PC reduces overall symptom burden, decreases hospitalizations, and supports home-based care.
Conclusions:
- Palliative care (PC) principles are applicable across various serious illnesses, enhancing traditional treatments.
- Barriers like insufficient professional training and implementation costs hinder PC access.
- Education and open dialogue are vital for successful early integration of PC services.
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