Abstract
Palliative and hospice care are medical subspecialties that provide specialized care for people living with serious illness. The focus of both is to relieve symptoms and improve quality of life for patients and their families and to guide patients and their families in discussions of goals of care and advanced directives. Palliative care can be initiated at any stage of illness; hospice care is generally reserved for patients who are in the last 6 months of their lives. It is important for primary care physicians to identify patients who will benefit from such care early on: Palliative care has been shown not only to enhance quality of life but also, in some cases, to prolong it. The most common symptoms addressed in palliative care are pain, shortness of breath, nausea/vomiting, and constipation.
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References
Temel JS, et al. Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med. 2010;363:733–42.
May P, et al. Economics of palliative care for hospitalized adults with serious illness, a meta analysis. JAMA Intern Med. 2018;178(6):820–9.
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34538
Bullock K. The influence of culture on end-of-life decision making. J Soc Work End Life Palliat Care. 2011;7(1):83–98. https://doi.org/10.1080/15524256.2011.548048.
Buckman R. Breaking bad news: the S-P-I-K-E-S strategy. Commun Oncol. 2005;2(2):138–42.
Randles D, et al. The common pain of surrealism and death: acetaminophen reduces compensatory affirmation following meaning threats. Psychol Sci. 2013;24(6):966–73.
World Health Organization. Cancer pain relief. Geneva: World Health Organization; 1986.
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Goring, T.N., Nelson, I.L. (2022). Care at the End of Life: Palliative and Hospice Care—Symptom Management. In: Sydney, E., Weinstein, E., Rucker, L.M. (eds) Handbook of Outpatient Medicine. Springer, Cham. https://doi.org/10.1007/978-3-031-15353-2_5
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DOI: https://doi.org/10.1007/978-3-031-15353-2_5
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