Tuesday, February 16, 2016

Palliative Care


by Paula Span, NY Times, February 12, 2016

This is an important article that serves as a great introduction to Palliative Care.  What follows are some quote.

Palliative care, focuses on relieving the discomfort and distress of serious illness, and it differs from hospice.  Many patients and families know little about palliative care; it only became an approved medical specialty in 2007.

Unlike hospice, palliative care patients can use it at any point in an illness — many will “graduate” as they recover — without forgoing curative treatment.  Like hospice, however, it focuses on quality of life, providing emotional and spiritual support for patients and families, along with drugs and other remedies to ease symptoms. Its practitioners help patients explore the complex medical decisions they often face, then document their preferences.

It pays off for patients and families. In 2010, a randomized trial of 151 patients with metastatic lung cancer at Massachusetts General Hospital found that those who received early palliative care scored significantly higher on quality of life measures than those receiving standard care, and were less likely to suffer from depression.  In spite of this, palliative care remains underused.

References:
1. New Frontiers in Outpatient Palliative Care for Patients With Cancer.
Rabow MW.  Cancer Control. 2015 Oct;22(4):465-74.  Free Full Text

2. Implementation of an Interdisciplinary, Team-Based Complex Care Support Health Care Model at an Academic Medical Center: Impact on Health Care Utilization and Quality of Life.  Ritchie C.  PLoS One. 2016 Feb 12;11(2):e0148096  Full Free Text.


2 comments:

  1. David thank you for all this helpful and important information. As a professional and family caregiver I have been in end of life situations often. I will follow and share your information as I do other important information on my blog palcaregivers. Really appreciate you time and effort to support us.

    ReplyDelete