Universität zu Köln

Gartner, Jan, Daun, Marion, Wolf, Juergen, von Bergwelt-Baildon, Michael and Hallek, Michael (2019). Early Palliative Care: Pro, but Please Be Precise! Oncol. Res. Treat., 42 (1-2). S. 11 - 18. BASEL: KARGER. ISSN 2296-5262

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Abstract

Background: By definition, palliative care (PC) is applicable already in early stages of incurable and life-threatening diseases, in conjunction with therapies that are intended to prolong life, such as for example chemo-or radiotherapy. Many patients suffer from distressing symptoms or problems in early phases of such illness. Therefore, it is not a question of if PC should be integrated early into oncology, but how. General PC is defined as an approach that should be delivered by healthcare professionals regardless of their discipline. This is often referred to as general or primary PC. For this, routine symptom assessment, expertise concerning basic symptom management, and communication skills are basic requirements. Communication skills include the willingness to engage in discussions concerning patients' fears, worries and end-of-life issues without the fear of destroying hope. Specialist PC is provided by specialist teams regardless of the patients' disease, be it cancer or non-cancer. Such teams should be integrated in the care of PC patients depending on the availability of these services and the patients' needs. Key messages: Early PC must not be used synonymously with early specialist PC because much of the PC is delivered as basic oncology PC. For the integration of specialist PC, the identification of triggers is warranted in different institutions to facilitate a meaningful and effective cooperation. Such cooperations should be based on patients' needs, but must also account for questions of availability and resources. (C) 2019 S. Karger AG, Basel

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gartner, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Daun, Marion UNSPECIFIED UNSPECIFIED UNSPECIFIED Wolf, Juergen UNSPECIFIED UNSPECIFIED UNSPECIFIED von Bergwelt-Baildon, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Hallek, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-139363
DOI:	10.1159/000496184
Journal or Publication Title:	Oncol. Res. Treat.
Volume:	42
Number:	1-2
Page Range:	S. 11 - 18
Date:	2019
Publisher:	KARGER
Place of Publication:	BASEL
ISSN:	2296-5262
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; ADVANCED CANCER; ONCOLOGY; OUTCOMES; END; INTEGRATION; PAIN; DISCUSSIONS; PERCEPTIONS; PATIENT Multiple languages Oncology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13936