Uncertain Cancer Diagnosis: The Expanded Role of the Palliative Care Consultant

被引:1
|
作者
Wolch, Gary R. [1 ]
Fainsinger, Robin [2 ]
Wong, Clarence [3 ]
Balachandra, Brinda [4 ]
机构
[1] Univ Alberta Hosp, Div Palliat Care Med, Edmonton, AB T6G 2B7, Canada
[2] Grey Nuns Hosp, Div Palliat Care Med, Edmonton, AB, Canada
[3] Royal Alexandra Hosp, Dept Gastroenterol, Edmonton, AB, Canada
[4] Royal Alexandra Hosp, Dept Anat Pathol, Edmonton, AB, Canada
关键词
D O I
10.1089/jpm.2011.0409
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: As attending physicians in acute care hospitals consult palliative care services earlier for patients with a life-threatening illness, the role of the palliative care consultant (PCC) may expand, especially when there is diagnostic uncertainty. Method: The expanding role of the PCC and the complexities associated with earlier referral are illustrated by describing the case of a patient with an uncertain diagnosis. Conclusion: The diagnostic uncertainty that accompanies earlier palliative care consultation may hamper the PCC's ability to establish goals of care and the appropriateness of hospice palliative care unit admission. Attempts at resolving this diagnostic uncertainty may lead to an expanded role for the PCC, which ideally will occur in collaboration with the primary care team.
引用
收藏
页码:1400 / 1403
页数:4
相关论文
共 50 条
  • [21] The role of radiotherapy in the treatment of cancer patients in palliative care
    Leppert, Wojciech
    Nowakowska, Elzbieta
    MEDYCYNA PALIATYWNA-PALLIATIVE MEDICINE, 2012, 4 (03): : 122 - 136
  • [22] The Complex Role of a Palliative Care Consultant in a Tertiary Hospital: Can a Practice Model Help in this Wild World?
    Luethi, Fabienne Teike
    Cantin, Boris
    JOURNAL OF PALLIATIVE MEDICINE, 2010, 13 (10) : 1178 - 1181
  • [23] Cancer Experts Recommend Introducing Palliative Care at Time of Diagnosis
    Mitka, Mike
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 307 (12): : 1241 - 1242
  • [24] Diagnosis of venous thromboembolism in cancer patients receiving palliative care
    Merminod, T
    Zulian, GB
    JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2000, 19 (04) : 238 - 239
  • [25] Optimizing care in early phase cancer trials: The role of palliative care
    Crowley, Fionnuala
    Sheppard, Richard
    Lehrman, Stephanie
    Easton, Eve
    Marron, Thomas U.
    Doroshow, Deborah
    Afezolli, Debora
    CANCER TREATMENT REVIEWS, 2024, 128
  • [26] Symptoms, care needs and type of cancer diagnosis in palliative cancer patients in acute care hospitals
    Sandgren, A.
    Fridlund, B.
    Petersson, K.
    Strang, P.
    Thulesius, H.
    EJC SUPPLEMENTS, 2009, 7 (02): : 179 - 179
  • [27] The role of the Consultant Radiographer in facilitating rapid access to palliative radiotherapy
    Fisher, S.
    RADIOGRAPHY, 2021, 27 (04) : 994 - 999
  • [28] Living with advanced cancer and an uncertain disease trajectory: an emerging patient population in palliative care?
    Lobb, Elizabeth A.
    Lacey, Judith
    Kearsley, John
    Liauw, Winston
    White, Lesley
    Hosie, Annmarie
    BMJ SUPPORTIVE & PALLIATIVE CARE, 2015, 5 (04) : 352 - 357
  • [30] No Air to Breath: The Role of Early Palliative Care in Lung Cancer
    Shariff, M. Z.
    Gupta, V.
    Bajwa, R. S.
    Khan, T.
    Mikhail, J.
    AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2019, 199