Skip to main content

Palliative Care/End-of-Life Care

  • Chapter
  • First Online:
Caring for Patients Across the Cancer Care Continuum

Abstract

This chapter will address the role of palliative care across the cancer care continuum, with emphasis on advance care planning, communication, and decision-making. It will also provide readers with management strategies for common symptoms experienced by patients at the end of life.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Ann M. Berger, Amy Pickar Abernethy, Ashley Atkinson, Andrea M. Barsevick, William S. Breitbart, David Cella, Bernadine Cimprich, Charles Cleeland, Mario A. Eisenberger, Carmen P. Escalante, Paul B. Jacobsen, Phyllis Kaldor, Jennifer A. Ligibel, Barbara A. Murphy, Tracey O’Connor, William F. Pirl, Eve Rodler, Hope S. Rugo, Jay Thomas, Lynne I. Wagner, (2010) Cancer-Related Fatigue. Journal of the National Comprehensive Cancer Network 8 (8):904–31.

    Article  Google Scholar 

  • Bernacki RE, Block SD, for the American College of Physicians High Value Care Task Force. Communication About Serious Illness Care Goals. A Review and Synthesis of Best Practices. JAMA Intern Med. 2014;174(12):1994–2003.

    Article  Google Scholar 

  • Bruera E, Kuehn N, Miller MJ, Selmser P. The Edmonton Symptom Assessment System (ESAS): a simple method for the assessment of palliative care patients. J Palliat Care. 1991;7:6–9.

    CAS  PubMed  Google Scholar 

  • Chochinov HM, Hack T, Hassard T, Kristjanson LJ, McClement S, Harlos M. Dignity therapy: a novel psychotherapeutic intervention for patients near the end of life. J Clin Oncol. 2005;23(24):5520–5.

    Article  Google Scholar 

  • Current Procedural Terminology (CPT) Professional. Chicago, Il: American Medical Association; 2016.

    Google Scholar 

  • Denlinger CS, Ligibel JA, Are M, Baker KS, Demark-Wahnefried W, Friedman DL, et al. Survivorship: fatigue, version 1.2014. J Natl Compr Cancer Netw. 2014;12(6):876–87.

    Article  Google Scholar 

  • Dumanovsky T, Augustin R, Rogers M, Lettang K, Meier DE, Morrison RS. The growth of palliative care in U.S. hospitals: a status report. J Palliat Med. 2016;19(1):8–15.

    Article  Google Scholar 

  • Fischer SM, Gozansky WS, Sauaia A, Min SJ, Kutner JS, Kramer A. A practical tool to identify patients who may benefit from a palliative approach: the CARING criteria. J Pain Symptom Manage. 2006;31(4):285–92.

    Article  Google Scholar 

  • Glare PA, Chow K. Validation of a simple screening tool for identifying unmet palliative care needs in patients with cancer. J Oncol Pract. 2015;11(1):e81–6.

    Article  Google Scholar 

  • Houben CHM, Spruit MA, Groenen MTJ, Wouters EFM, Janssen DJA. Efficacy of advance care planning: a systematic review and meta-analysis. J Am Med Dir Assoc. 2014;15(7):477–89.

    Article  Google Scholar 

  • Jennings AL, Davies AN, Higgins JP, Broadley K. Opioids for the palliation of breathlessness in terminal illness. Cochrane Database Syst Rev. 2001; (4):CD002066.

    Google Scholar 

  • Johnson MJ, Hui D, Currow DC. Opioids, exertion, and dyspnea: a review of the evidence. Am J Hospice Palliat Med. 2016;33(2):194–200.

    Article  Google Scholar 

  • Jones CA, Acevedo J, Bull J, Kamal AH. Top 10 tips for using advance care planning codes in palliative medicine and beyond. J Palliat Med. 2016;19(12):1249–53.

    Article  Google Scholar 

  • Kamal AH, Maguire JM, Wheeler JL, Currow DC, Abernethy AP. Dyspnea review for the palliative care professional: assessment, burdens, and etiologies. J Palliat Med. 2011;14(10):1167–72.

    Article  Google Scholar 

  • Kamal AH, Maguire JM, Wheeler JL, Currow DC, Abernethy AP. Dyspnea review for the palliative care professional: treatment goals and therapeutic options. J Palliat Med. 2012;15(1):106–14.

    Article  Google Scholar 

  • Klaschik E, Nauck F, Ostgathe C. Constipation—modern laxative therapy. Support Care Cancer. 2003;11(11):679–85.

    Article  CAS  Google Scholar 

  • Li M, Fitzgerald P, Rodin G. Evidence-based treatment of depression in patients with cancer. J Clin Oncol. 2012;30(11):1187–96.

    Article  Google Scholar 

  • Librach SL, Bouvette M, De Angelis C, Farley J, Oneschuk D, Pereira JL, et al. Consensus recommendations for the management of constipation in patients with advanced, progressive illness. J Pain Symptom Manage. 2010;40(5):761–73.

    Article  Google Scholar 

  • Mitchell AJ. Are one or two simple questions sufficient to detect depression in cancer and palliative care? A Bayesian meta-analysis. Br J Cancer. 2008;98(12):1934–43.

    Article  CAS  Google Scholar 

  • Moss AH, Lu nney JR, Culp S, Auber M, Kurian S, Rogers J, et al. Prognostic significance of the “surprise” question in cancer patients. J Palliat Med. 2010;13(7):837–40.

    Article  Google Scholar 

  • Nalamachu SR, Pergolizzi J, Taylor R, Slatkin NE, Barrett AC, Yu J, et al. Efficacy and tolerability of subcutaneous methylnaltrexone in patients with advanced illness and opioid-induced constipation: a responder analysis of 2 randomized, placebo-controlled trials. Pain Pract. 2015;15(6):564–71.

    Article  Google Scholar 

  • National Consensus Project for Quality Palliative Care. Clinical practice guidelines for quality palliative care. 4th ed. 2018. National Consensus Project for Quality Palliative Care. The National Coalition for Hospice and Palliative Care. https://www.nationalcoalitionhpc.org/ncp-guidelines-2018/.

  • National Palliative Care Registry at the Center to Advance Palliative Care. Growth of Palliative Care in US Hospitals 2016 Snapshot (2000–2015). New York: Center to Advance Palliative Care. 2016. https://registry.capc.org/metrics-resources/registry-publications/.

  • Partain DK, Ingram C, Strand JJ. Providing appropriate end-of-life care to religious and ethnic minorities. Mayo Clin Proceed. 2017;92(1):147–52.

    Article  Google Scholar 

  • Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects study. JAMA. 1999;282(23):2215–9.

    Article  CAS  Google Scholar 

  • Sepúlveda C, Marlin A, Yoshida T, Ullrich A. Palliative care: the World Health Organization's global perspective. J Pain Sympt Manage. 2002;24(2):91–6.

    Article  Google Scholar 

  • Spence RA, Blanke CD, Keating TJ, Taylor LP. Responding to patient requests for hastened death: physician aid in dying and the clinical oncologist. J Oncol Pract. 2017;13(10):693–9.

    Article  Google Scholar 

  • Sulmasy DP, Finlay I, Fitzgerald F, Foley K, Payne R, Siegler M. Physician-assisted suicide: why neutrality by organized medicine is neither neutral nor appropriate. J Gen Intern Med. 2018 May 2.

    Google Scholar 

  • Wiencek C, Coyne P. Palliative Care Delivery Models. Seminars in Oncology Nursing. 2014;30(4):227–233.

    Article  Google Scholar 

  • World Health Organization. Definition of palliative care. http://www.who.int/cancer/palliative/definition/en/. Accessed 27 May 2018.

  • Youngwerth J, Min S-j, Statland B, Allyn R, Fischer S. Caring about prognosis: a validation study of the caring criteria to identify hospitalized patients at high risk for death at 1 year. J Hosp Med. 2013;8(12):696–701.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Linda Overholser .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Overholser, L., Wolfe, A. (2019). Palliative Care/End-of-Life Care. In: Nekhlyudov, L., Goel, M., Lin, J., Overholser, L., Peairs, K. (eds) Caring for Patients Across the Cancer Care Continuum. Springer, Cham. https://doi.org/10.1007/978-3-030-01896-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-01896-2_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-01895-5

  • Online ISBN: 978-3-030-01896-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics