Objectives

• What is meant by curative, adjuvant and palliative therapy?
• What is cancer cachexia?
• When should palliative care teams be involved?
• What can palliative care teams offer?

• Upon completion of this case, students will be able to define palliative care and describe the role of palliative care in the setting of complex cancer patients.

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Archived Therapy 2010 Family medicine Medical Oncology Palliative care Law And Ethics The Dying Patient 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds 4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics 4.4 Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions, including the ability to manage one’s own interpersonal responses 4.5 Maintain comprehensive, timely, and legible medical records 5.2 Demonstrate compassion, integrity, and respect for others 5.4 Demonstrate respect for patient confidentiality, privacy and autonomy 5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations 6.1 Understand the systems of healthcare, including federal, provincial, municipal and local, and the influences they have on the health of individuals and populations 6.3 Advocate for quality patient care and optimal patient care systems that support patient- and population-centred care that is safe, timely, efficient, effective, and equitable Advance Directives [N04.590.233.624.124.050] Aged [M01.060.116.100] Analgesics, Opioid [D27.505.954.427.040.325] Constipation [C23.888.821.150] Delirium [C23.888.592.604.339.500] Diphosphonates [D02.705.206] Disease Management [N04.590.607] Neoplasm Metastasis [C04.697.650] Neoplasm Staging [E01.370.550] Pain [C23.888.646] Palliative Care [E02.760.666] Patient Care Team [N04.590.715] Radiotherapy, Adjuvant [E02.186.775] Social Work [N02.421.849] Tamoxifen [D02.455.426.559.389.150.700.900]