Palliative care models for patients living with advanced cancer: a narrative review for the emergency department clinician

被引：6
作者：
Corita R. Grudzen
Paige C. Barker
Jason J. Bischof
Allison M. Cuthel
Eric D. Isaacs
Lauren T. Southerland
Rebecca L. Yamarik
机构：
[1] New York University Grossman School of Medicine,Ronald O. Perelman Department of Emergency Medicine
[2] University of Florida Health,Department of Medicine
[3] The Ohio State University Wexner Medical Center,Department of Emergency Medicine
[4] Zuckerberg San Francisco General Hospital,Department of Emergency Medicine
[5] University of California San Francisco,Department of Medicine
[6] Tibor Rubin Long Beach Veteran Affairs,undefined
来源：
Emergency Cancer Care | / 1卷 / 1期
关键词：
Emeregency medicine; Advanced cancer; Models of care; Palliative care;
D O I：
10.1186/s44201-022-00010-9
中图分类号：
学科分类号：
摘要：
Eighty-one percent of persons living with cancer have an emergency department (ED) visit within the last 6 months of life. Many cancer patients in the ED are at an advanced stage with high symptom burden and complex needs, and over half is admitted to an inpatient setting. Innovative models of care have been developed to provide high quality, ambulatory, and home-based care to persons living with serious, life-limiting illness, such as advanced cancer. New care models can be divided into a number of categories based on either prognosis (e.g., greater than or less than 6 months), or level of care (e.g., lower versus higher intensity needs, such as intravenous pain/nausea medication or frequent monitoring), and goals of care (e.g., cancer-directed treatment versus symptom-focused care only). We performed a narrative review to (1) compare models of care for seriously ill cancer patients in the ED and (2) examine factors that may hasten or impede wider dissemination of these models.
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