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End-of-Life Care in Oncology
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Definition of End-of-Life Care
End-of-Life Care refers to the support and medical care given during the time surrounding death.
Goals of End-of-Life Care in Oncology
To provide comfort, alleviate pain, and support the emotional and psychological needs of the patient.
Palliative Chemotherapy
Use of chemotherapy in non-curative settings to reduce symptoms and improve quality of life.
Advance Care Planning
The process of discussing and documenting patient preferences for end-of-life care.
Hospice Care vs Palliative Care
Hospice care is designed for the final months of life, while palliative care can be provided at any stage of illness.
Role of the Oncologist in End-of-Life Care
Oncologists guide treatment decisions, symptom management, and emotional support in collaboration with palliative care specialists.
Communication with Patients and Families
Effective communication involves clear, compassionate discussions regarding prognosis, options, and care plans.
Management of Cancer Pain at End-of-Life
Involves a variety of medications, therapies, and interventional techniques to alleviate pain and improve comfort.
Ethical Considerations in End-of-Life Oncology Care
Include respect for patient autonomy, consideration of futile treatments, and decisions about life-sustaining interventions.
Spiritual Care in End-of-Life Oncology
Addresses the spiritual and existential concerns of patients, often involving chaplaincy or pastoral care.
Cultural Sensitivity in End-of-Life Care
Incorporates the cultural, ethnic, and religious values and practices of the patient and their family.
Symptom Management in Terminal Oncology Patients
Focuses on the control of symptoms such as pain, nausea, dyspnea, and delirium, to improve patient comfort.
Nutritional Support in End-of-Life Cancer Care
Aims to manage issues like malnutrition and dehydration while respecting patient's wishes and comfort levels.
Pediatric End-of-Life Care in Oncology
Specialized care catering to the unique needs of children with cancer and their families.
Bereavement Support for Families
Provision of resources and counseling to help families cope with grief and loss after the patient's death.
Decisions Around Resuscitation in Cancer Care
Involves discussions about the use or non-use of CPR and other life-sustaining measures at the end of life.
Cost of End-of-Life Cancer Care
Covers issues around financial implications and the utilization of resources in the last phase of life.
Quality Indicators of End-of-Life Cancer Care
Measures that reflect the quality and effectiveness of end-of-life care such as patient satisfaction and symptom control.
Use of Non-Pharmacological Interventions
Includes approaches such as massage, acupuncture, music therapy, and relaxation techniques for symptom relief.
Training and Education in End-of-Life Oncology Care
Education initiatives for healthcare providers to improve skills in palliative care, communication, and bereavement support.
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