Advertisement

Palliative Care in the Emergency Center

  • Nada Fadul
  • Ahmed ElsayemEmail author
Part of the MD Anderson Cancer Care Series book series (MDCCS)

Abstract

Palliative care is a relatively new discipline in medicine that focuses on the assessment and management of suffering in patients with advanced illnesses such as cancer. The field of oncologic emergency medicine is also an emerging discipline that focuses on emergency medical care for a unique patient population that differs substantially from the general emergency medicine population. In this chapter, we review the general principles of palliative care as it applies to the emergency care of cancer patients, specifically, those with advanced cancer. This chapter is not intended to be a comprehensive review. Rather, the goal is to provide the reader with a practical, general overview of common palliative care issues. Topics covered in this chapter include pain management, fatigue and weakness, anorexia and cachexia, ethics, communication, and interdisciplinary palliative care teams.

Keywords

Emergency Cancer Oncology Symptoms Communication Pain Opioid Fatigue Cachexia Palliative Care 

Suggested Readings

  1. Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist. 2000;5:302–11.CrossRefPubMedGoogle Scholar
  2. Bruera E, Higginson I, Von Gunten C, editors. Textbook of palliative medicine. 1st ed. London, UK: Hodder Arnold Publications; 2006.Google Scholar
  3. Elsayem A, Swint K, Fisch MJ, et al. Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes. J Clin Oncol. 2004;22:2008–14.CrossRefPubMedGoogle Scholar
  4. Escalante CP, Kallen MA, Valdres RU, Morrow PK, Manzullo EF. Outcomes of a cancer-related fatigue clinic in a comprehensive cancer center. J Pain Symptom Manage. 2010;39:691–701.CrossRefPubMedGoogle Scholar
  5. Mock V, Piper B, Sabbatini P, et al. National comprehensive cancer network fatigue guidelines. Oncology (Williston Park). 2000;14:151–61.Google Scholar
  6. Morrison RS, Meier DE. Clinical practice: palliative care. N Engl J Med. 2004;350:2582–90.CrossRefPubMedGoogle Scholar
  7. Paice JA, Ferrell B. The management of cancer pain. CA Cancer J Clin. 2011;61:157–82.CrossRefPubMedGoogle Scholar
  8. Swarm R, Anghelescu DL, Benedetti C, et al. Adult cancer pain. J Natl Compr Canc Netw. 2007;5:726–51.PubMedGoogle Scholar
  9. Todd KH. Pain assessment instruments for use in the emergency department. Emerg Med Clin North Am. 2005;23:285–95.CrossRefPubMedGoogle Scholar
  10. Todd KH, Ducharme J, Choiniere M, et al. Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain. 2007;8:460–6.CrossRefPubMedGoogle Scholar
  11. Vogelzang N, Breitbart W, Cella D, et al. Patient, caregiver, and oncologist perceptions of cancer-related fatigue: results of a tri-part assessment survey. Semin Hematol. 1997;34 Suppl 2:4–12.PubMedGoogle Scholar
  12. World Health Organization. Cancer pain relief and palliative care. Geneva: World Health Organization; 1991.Google Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of Emergency Medicine, Unit 1465The University of Texas MD Anderson Cancer CenterHoustonUSA

Personalised recommendations