Role of Early Palliative Care in Advanced Head-and-Neck Cancers Patients

被引:9
作者
Satija, Aanchal [1 ]
Lorenz, Karl [2 ,3 ]
DeNatale, Michelle [4 ]
Spruyt, Odette [4 ,5 ]
Deo, S. V. S. [6 ]
Bhatnagar, Sushma [1 ]
机构
[1] AIIMS, Dr BR Ambedkar IRCH, Dept Oncoanaesthesia & Palliat Med, New Delhi 110029, India
[2] Stanford Univ, Sch Med, VA Palo Alto Stanford Palliat Care Program, Stanford, CA 94305 USA
[3] Stanford Univ, Sch Med, Med, Stanford, CA 94305 USA
[4] Stanford Healthcare, Strateg Programs Chief Med Officer, Stanford, CA USA
[5] Peter MacCallum Canc Ctr, Dept Pain & Palliat Care, Melbourne, Vic, Australia
[6] AIIMS, Dr BR Ambedkar IRCH, Dept Surg Oncol, New Delhi, India
关键词
Early palliative care; head-and-neck cancer; palliative care referral; STANDARD ONCOLOGY CARE; EARLY INTEGRATION; SYMPTOM BURDEN; BARRIERS; LIFE;
D O I
10.4103/IJPC.IJPC_142_18
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Head-and-neck cancers (HNCs) are significant in India. Poverty, illiteracy, lack of access to healthcare, and poor treatment infrastructure pose a major challenge in the management of these cancers. The majority of these patients present with advanced stage and are not amenable to curative treatment. The majority have the potential to benefit from palliative care (PC) interventions. Our experience has been that usually the referrals from HNC clinic for PC are at the end-of-life or terminal stage. Unfortunately, in the state of intractable suffering, it is difficult for patients to understand and fully benefit from the role of PC. Developing an effective working relationship and communication between the PC service and referring surgeons or oncologists is a key to foster more timely, appropriate referral, as both patients and clinicians often misunderstand or fail to recognize the role of PC. In preparation for a quality improvement project to improve access to PC for HNC patients at the All India Institute of Medical Sciences, we reviewed the needs, challenges, conceptual models, and potential of early integration of PC in advanced HNC patients.
引用
收藏
页码:153 / 155
页数:3
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