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Related Experiment Videos

Appropriate palliative care: when does it begin?

D Jeffrey

    European Journal of Cancer Care
    |September 1, 1995
    PubMed
    Summary
    This summary is machine-generated.

    Transitioning cancer care from curative to palliative approaches causes uncertainty. A new model respecting patient autonomy can help determine the appropriate timing for this care shift.

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    Area of Science:

    • Oncology
    • Palliative Care
    • Medical Ethics

    Background:

    • The shift from curative to palliative cancer care presents significant challenges and uncertainty for patients, families, and healthcare providers.
    • Conventional models often delineate distinct phases of cancer care (curative, palliative, terminal), but these boundaries are frequently blurred in practice.

    Purpose of the Study:

    • To examine the conventional model of cancer care phases and the challenges associated with transitioning between curative and palliative approaches.
    • To propose a patient-centered model that prioritizes autonomy in determining the appropriate timing for switching to palliative care.

    Main Methods:

    • Conceptual analysis of existing cancer care models.
    • Exploration of ethical principles, particularly patient autonomy, in clinical decision-making.

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  • Review of literature on patient and family experiences during care transitions.

    • Main Results:

    • The traditional phased model of cancer care lacks clear distinctions, leading to ambiguity in treatment goals.
    • Patient autonomy is a critical factor in navigating the transition from curative to palliative care effectively.
    • A care model emphasizing patient autonomy can facilitate more appropriate and timely shifts in care approach.

    Conclusions:

    • The transition from curative to palliative cancer care requires a more flexible and patient-centered approach.
    • Respecting patient autonomy is paramount for ensuring that the switch to palliative care occurs at an appropriate time.
    • Implementing a model based on patient autonomy can reduce uncertainty and improve the quality of care during critical transitions.