Early integration of palliative care into oncological care: a focus on patient-important outcomes

Author:

Ansatbayeva Tolganay1,Kaidarova Dilyara2,Kunirova Gulnara3,Khussainova Ilmira4,Rakhmetova Venera5,Smailova Dariga6,Semenova Yuliya7,Glushkova Natalya8,Izmailovich Marina9

Affiliation:

1. Asfendiyarov Kazakh National Medical University; Oncologist of a Mobile Palliative Home Care Team, City Oncological Center of Almaty, Kazakhstan

2. Doctor of Medicine; Professor; Academician of the National Academy of Sciences of the Republic of Kazakhstan; Chairperson of the Board, JSC Kazakh Institute of Oncology and Radiology; Head of the Oncology Department, JSC Asfendiyarov Kazakh National Medical University, Kazakhstan

3. President, Kazakhstan Association for Palliative Care Board of Directors, International Association for Hospice and Palliative Care; Executive Director, Together Against Cancer, Kazakhstan

4. Assistant Professor of General and Applied Psychology, al-Farabi Kazakh National University; Head of the Department of Psychological and Social Assistance, Kazakh Insititute of Oncology and Radiology, Kazakhstan

5. Professor of Department of Internal Diseases, Astana Medical University, Kazakhstan

6. Head of Department of Epidemiology, Evidence-based Medicine and Biostatistics, Kazakhstan School of Public Health, Kazakhstan

7. Assistant Professor, Nazarbayev University School of Medicine, Kazakhstan

8. Associate Professor of the Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Kazakhstan

9. Assistant Professor, Department of Internal Diseases, Karaganda Medical University, Kazakhstan

Abstract

Background: Globally, cancer remains one of the leading causes of mortality. Palliative care is designed to meet a range of cancer patients' priority issues, including the management of pain and other cancer-associated symptoms. Routine palliative care envisages the provision of not just medical therapy, but also psychological support, social support and spiritual assistance. What constitutes the best model for palliative care remains a matter of debate. Aim: This review was undertaken with the aim to discuss different aspects of early integration of palliative care into oncological care, with a focus on patient-important outcomes. Methods: A comprehensive search of publications was conducted with a focus on integrative palliative care for incurable cancer patients. For this purpose, the following databases and search engines were used: Scopus, PubMed, Cochrane Library, Research Gate, Google Scholar, eLIBRARY and Cyberleninka. Results: A comprehensive approach with early integration of different medical services appears to be the most promising. Integrative palliative care is best provided via specialised interdisciplinary teams, given that all members maintain systemic communications and regularly exchange information. This model ensures that timely and adequate interventions are provided to address the needs of patients. Conclusion: Further research is needed to pinpoint the most optimal strategies to deliver palliative care and make it as tailored to the patient's demands as possible.

Publisher

Mark Allen Group

Subject

Advanced and Specialized Nursing

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