RT Book, Section
A1 Azhar, Ahsan
A1 Haider, Ali
A1 Bruera, Eduardo
A2 Kantarjian, Hagop M.
A2 Wolff, Robert A.
A2 Rieber, Alyssa G.
SR Print(0)
ID 1190840268
T1 Inpatient Supportive and Palliative Care
T2 The MD Anderson Manual of Medical Oncology, 4e
YR 2022
FD 2022
PB McGraw Hill Education
PP New York, NY
SN 9781260467642
LK accessmedicine.mhmedical.com/content.aspx?aid=1190840268
RD 2024/04/23
AB KEY  CONCEPTSInpatient  palliative  or  supportive  care  service  is  an  interdisciplinary  team  of  palliative  care  providers,  including  a  physician,  counselor,  chaplain,  social  worker,  pharmacist,  palliative  care  nurses,  and  many  others,  who  provide  an  integrated  model  of  care  to  advanced  cancer  patients  alongside  the  oncology  teams.Supportive  care  consultation  can  help  identify  and  manage  complex  symptom  issues  like  missed  delirium  and  refractory  pain  in  patients  with  advanced  cancer,  as  well  as  psychosocial,  emotional,  and  spiritual  distress,  while  reducing  the  amount  of  opioids  and  other  psychotropic  agents  (polypharmacy).Early  integration  of  supportive  care  has  improved  patient-reported  outcomes  and  discharge  outcomes,  including  an  intensive  care  unit  and  overall  hospital  mortality,  without  increasing  length  of  stay.An  acute  palliative  and  supportive  care  unit  (PSCU)  at  a  tertiary  care  hospital  is  different  from  an  acute  inpatient  hospice  facility,  because  patients  with  a  prognosis  of  more  than  six  months  can  be  admitted  to  a  PSCU  for  the  management  of  physical  symptoms  and  the  psychosocial,  emotional,  and  spiritual  distress  for  both  the  patient  and  their  family.An  acute  PSCU  not  only  provides  clinical  care  and  education  to  the  patient  and  family  but  also  provides  opportunities  for  education  of  the  different  disciplines  involved  in  the  patient's  care  as  well  as  research  geared  toward  improving  the  quality  of  life  of  patients,  family,  caregivers,  and  care  providers.The  supportive  care  team,  when  part  of  the  care  continuum,  can  proactively  assist  with  early  identification  and  clarification  of  goals  of  care  and  completion  of  advanced-care  directives,  as  well  as  provide  a  smoother  transition  and/or  discharge  plan  for  patients  with  advanced  cancer.An  overwhelming  majority  of  patients  with  cancer,  as  well  as  junior  oncology  colleagues,  feel  that  they  benefit  from  the  integration  of  an  interdisciplinary  palliative  and  supportive  care  team.