Palliative Care Clinical Practice Guidelines in Oncology

2003 ◽  
Vol 1 (3) ◽  
pp. 394 ◽  
Keyword(s):  
Palliative Care ◽  
Social Workers ◽  
Anticancer Therapy ◽  
The Past ◽  
Hospice Movement ◽  
Life Issues ◽  
Care Guidelines ◽  
Collaborative Efforts ◽  
Recent Version

Over the past 20 years, increasing attention has been paid to quality-of-life issues in oncology. As the hospice movement has grown in this country, palliative care has developed into an integral part of comprehensive cancer care. The NCCN Palliative Care Guidelines were developed to facilitate the appropriate integration of palliative care into anticancer therapy. They were developed from the collaborative efforts of medical and surgical oncologists, neurologists, anesthesiologists, psychiatrists, internists, palliative care specialists, pastoral care counselors, social workers, and nurses. For the most recent version of the guidelines, please visit NCCN.org

Palliative Care

2006 ◽  
Vol 4 (8) ◽  
pp. 776 ◽  
Author(s):  
_ _
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Cancer Care ◽  
Incurable Cancer ◽  
Disease Modifying Therapy ◽  
Hospice Movement ◽  
Life Issues ◽  
Care Guidelines ◽  
Recent Version

Over the past 20 years, increasing attention has been paid to quality-of-life issues in oncology. As the hospice movement has grown in this country, palliative care has developed into an integral part (rather than the antithesis) of comprehensive cancer care. Palliative care must be integrated earlier into the continuum of cancer care, and palliative, symptom-modifying therapy should be provided simultaneously with disease-modifying therapy from diagnosis. The goal of the NCCN palliative care guidelines is to help assure that each patient with cancer experiences the best possible quality of life throughout the illness trajectory. These guidelines are intended to help oncology teams provide the best care possible for their patients with incurable cancer. For the most recent version of the guidelines, please visit NCCN.org

The Promise of Palliative Care

Pained ◽  
2020 ◽  
pp. 203-206
Author(s):  
Michael D. Stein ◽  
Sandro Galea
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
End Of Life ◽  
Social Workers ◽  
Hospice Care ◽  
Care Plan ◽  
Life Care ◽  
High Quality ◽  
Life Threatening

This chapter assesses palliative care. Palliative care focuses on improving the quality of life for people with life-threatening illnesses by involving a team of nurses, doctors, social workers, and clergy in a care plan. Hospice care—administered in dedicated units and in services delivered at home—has been slowly expanding over the past two decades, but the increasing percentage of patients who use hospice for less than 7 days suggests that the full benefits of end-of-life palliative care are not being realized. Meanwhile, the use of unwanted, aggressive end-of-life care, often inconsistent with patient preferences, remains pervasive. For palliative care to be effective, it must be supported by government policies and insurer incentives; it must also be owned by communities, which must continue to ask for help in designing and paying for high-quality palliative care for patients and their caregiving families.

Quality of palliative care in identified palliative care beds

2020 ◽  
Vol 26 (2) ◽  
pp. 64-69
Author(s):  
Erika Viel ◽  
André Vanoli ◽  
David Truong ◽  
Djamel Harami ◽  
Marilène Filbet ◽  
...  
Keyword(s):  
Palliative Care ◽  
Hospital Stay ◽  
Social Workers ◽  
Medical Oncology ◽  
Opioid Use ◽  
Provincial Hospital ◽  
Pain Evaluation ◽  
Anti Cancer ◽  
Close Relatives

Background: Dedicated identified palliative care beds (IPCB) are unique to France. Aims: This study aimed to assess their use and advantages in a medical oncology department of a private provincial hospital. Findings: Of the last 100 patients who died in the medical oncology department, 57 had an IPCB. Those with an IPCB had a longer final hospital stay and significant advantages for them were access to pain evaluation by nurses and professional psychological support. Opioid use was higher, but not significantly so. There were no significant differences for the presence of close relatives, physiotherapy interventions, social workers or specific anti-cancer treatment in the last 15 days of life. Conclusion: This study shows some advantages for IPCB (treatment of pain, psychologist), which should be further explored. The length of the final hospital stay is controversial.

High–Tech, Aggressive Palliative Care: In the Service of Quality of Life

1993 ◽  
Vol 9 (1) ◽  
pp. 37-41 ◽  
Author(s):  
David M. Dush
Keyword(s):  
Quality Of Life ◽  
United States ◽  
Health Care ◽  
Palliative Care ◽  
Hospice Care ◽  
High Technology ◽  
The United States ◽  
High Tech ◽  
Hospice Movement

The hospice movement grew in part as a reaction to the perception that modern medical care had become too technological at the expense of being impersonal and insensitive to human psychological and spiritual concerns. In the United States, the institutionalization of hospice care under Medicare and other reimbursement systems has further established hospice as an alternative to high-technology, high-cost care. The present paper examines the question: What if hospice care becomes itself high-technology, aggressive, costly health care in order to remain true to its goal of maximizing quality of life? Implications for the goals and philosophical underpinnings of palliative care are discussed.

Quality of life issues identified by palliative care clients using two tools

2002 ◽  
Vol 12 (1) ◽  
pp. 31-41 ◽  
Author(s):  
Sue Lewis ◽  
Marie Bridge ◽  
Di Roughton ◽  
Janine Barelds ◽  
Sava Brenton ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Life Issues

Oregon hospice nurses and social workers' assessment of physician progress in palliative care over the past 5 years

2003 ◽  
Vol 1 (3) ◽  
pp. 215-219 ◽  
Author(s):  
ELIZABETH R. GOY ◽  
ANN JACKSON ◽  
THERESA A. HARVATH ◽  
LOIS L. MILLER ◽  
MOLLY A. DELORIT ◽  
...  
Keyword(s):  
Palliative Care ◽  
Social Workers ◽  
Physician Education ◽  
Hospice Nurses ◽  
The Past ◽  
Pain Medications ◽  
Hospice Patients ◽  
Death With Dignity Act ◽  
Willingness To Refer ◽  
Opioid Medications

Background: The 1997 enactment of the Oregon Death with Dignity Act intensified interest in improving physician education and skills in caring for patients at the end of life.Objective: To obtain hospice nurse and social workers' collateral ratings of efforts made by Oregon physicians to improve their palliative care skills over the previous 5 years.Design: A descriptive survey of nurses and social workers from all 50 Oregon outpatient hospice agencies.Measurement and Results: Oregon hospice nurse (N = 185) and social worker (N = 52) respondents, who had worked in hospice for at least 5 years, rated changes they observed over the past 5 years in physicians' approach to caring for their hospice clients. Six characteristics, including willingness to refer patients to hospice, willingness to prescribe sufficient pain medications, knowledge about using pain medications in hospice patients, interest in caring for hospice patients, competence in caring for hospice patients, and fearfulness of prescribing sufficient opioid medications were evaluated. Positive changes were endorsed by the majority of respondents on all but the scale measuring fearfulness of prescribing opioid medications; on the latter, 47% of nurses rated doctors as less fearful, whereas 53% rated them as about the same or more fearful than they were 5 years earlier.Conclusions: Most respondents rated Oregon physicians as showing improvements in knowledge and willingness to refer and care for hospice patients.

Adapting the serious illness conversation guide for use in the emergency department by social workers

2021 ◽  
pp. 1-5
Author(s):  
Emily Loving Aaronson ◽  
Jeffrey L. Greenwald ◽  
Lindsey R. Krenzel ◽  
Angelina M. Rogers ◽  
Lauren LaPointe ◽  
...  
Keyword(s):  
Emergency Department ◽  
Palliative Care ◽  
Social Workers ◽  
Pilot Testing ◽  
Serious Illness ◽  
Home Based ◽  
Treatment Plans ◽  
Phase Process ◽  
Made In

Abstract Objective Although important treatment decisions are made in the Emergency Department (ED), conversations about patients’ goals and values and priorities often do not occur. There is a critical need to improve the frequency of these conversations, so that ED providers can align treatment plans with these goals, values, and priorities. The Serious Illness Conversation Guide has been used in other care settings and has been demonstrated to improve the frequency, quality, and timing of conversations, but it has not been used in the ED setting. Additionally, ED social workers, although integrated into hospital and home-based palliative care, have not been engaged in programs to advance serious illness conversations in the ED. We set out to adapt the Serious Illness Conversation Guide for use in the ED by social workers. Methods We undertook a four-phase process for the adaptation of the Serious Illness Conversation Guide for use in the ED by social workers. This included simulated testing exercises, pilot testing, and deployment with patients in the ED. Results During each phase of the Guide's adaptation, changes were made to reflect both the environment of care (ED) and the clinicians (social workers) that would be using the Guide. A final guide is presented. Significance of results This report presents an adapted Serious Illness Conversation Guide for use in the ED by social workers. This Guide may provide a tool that can be used to increase the frequency and quality of serious illness conversations in the ED.

Palliative care in old age

2006 ◽  
Vol 16 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Raymond SK Lo ◽  
Jean Woo
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Old Age ◽  
Physical Symptoms ◽  
Chronic Illnesses ◽  
List Type ◽  
Life Issues ◽  
Review Current ◽  
Care For Older People

With an aging population globally, and increasing numbers of older patients facing chronic illnesses, better palliative care in old age should be promoted.In this review we will Highlight the pressing need for better palliative care for older peopleAdvocate the concept of palliative care as applied to geriatrics and gerontologyReview current end-of-life care for older people with chronic disease, both non-cancer and cancerDiscuss the palliative-care approaches to common physical symptoms and psychospiritual distressHighlight advanced care planning and quality-of-life issues

scholarly journals Creating Significant Life Rituals in Neuro-Palliative Care

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Lana Kim McGeary
Keyword(s):  
Palliative Care ◽  
Health Care Professionals ◽  
Meaning Making ◽  
Hospital Setting ◽  
Whole Person ◽  
Life Issues ◽  
Significant Life ◽  
Care Health ◽  
Team Setting

Ritual can be described as an act which helps make sense of life, “there is what many people recognize as a spiritual quality to life, which in suffering, confronts people with questions and possibilities that reach beyond the immediate dilemmas of physical insult.” (Cobb and Robshaw, 1998); in this vein, ritual serves as a vehicle to navigate the inherent moments of sorrow and suffering in our lives. Fred Bird describes ritual as something which allows for communication, representation, meaning making, validation and relationing. (Bird, 1995)This presentation explores the ways in which creating accessible and significant contemporary rituals, within a hospital setting, may serve as a means to crystallize our deepest sensitivities for life, and living. It looks at some of the ways rituals can serve as a bridge to wholing and healing, within the patient, with family members and with health care professionals interacting with patient. Through examples from spiritual care counseling, within a multidisciplinary team setting, in neuro-palliative care, a path is set for some simple ways to ritually nurture quality of life issues, as part of a whole person care health protocol.

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