Palliative Care: The Basics
Carolyn Vachani, RN, MSN, AOCN
The Abramson Cancer Center of the University of Pennsylvania
Last Modified: September 25, 2012
What is palliative care?
Palliative care is a medical specialty focused on relieving pain and other symptoms, as well as helping patients and families navigate difficult medical decisions and manage stress. When life gets distressing, palliative care can provide an extra layer of support. Effective symptom management is necessary for many patients coping with serious illness, regardless of the diagnosis or stage of disease. The goal of palliative care is to improve quality of life for patients and their families.
Most hospitals in the United States have a palliative care program, either as a consultation service in the hospital or access to professionals in the outpatient area. Palliative care is appropriate for any stage of disease, at any point in treatment and can be provided with curative treatment.
Who are the providers on a palliative care team?
The palliative care team may include a physician, nurse and/or nurse practitioner, pharmacist, chaplain and social work. Some teams may also include nutritionists, massage therapists or other complementary medicine practitioners. These practitioners work in conjunction with a patient’s oncology team or other medical professionals to provide an extra layer of support to patients and families.
What can a palliative care team offer me that my oncology team cannot?
The palliative care team provides extra support. They may provide their expertise in symptom and pain management. They may spend time discussing treatment goals and helping a patient and their family sort through difficult decisions. They may provide assistance in navigating a complex healthcare system. They may provide emotional and spiritual support for patients and families. The team can often provide more time and support than is possible in a busy oncology clinic. However, they are a part of your larger team and keep in close communication with your oncology team.
When is palliative care appropriate?
Palliative care is appropriate for any stage of disease and any point in the treatment continuum. Unlike hospice, palliative care can go hand-in-hand with active, curative treatment. Palliative care is not limited to patients with a cancer diagnosis and can be used by any patient diagnosed with a serious illness.
Not sure if palliative care is right for you?
GetPalliativeCare.org has a short quiz to help you determine if palliative care would be beneficial for you.
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