In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer?

Journal of Clinical Medicine
Paolo CotogniAnna De Luca

Abstract

Traditionally, palliative care (PC) systems focused on the needs of advanced cancer patients, but most patients needing PC have end-stage organ diseases. Similarly, PC models focus on the needs of patients in hospices or at home; however, in most cases PC is provided in acute hospitals. Indeed, the symptom burden that these patients experience in the last year of life frequently forces them to seek care in emergency departments. The majority of them are admitted to the hospital and many die. This issue poses important concerns. Despite the efforts of attending healthcare professionals, in-hospital patients do not receive optimal care near the end-of-life. Also, evidence is emerging that delay in identifying patients needing PC have a detrimental impact on their quality of life (QoL). Therefore, there is an urgent need to identify, early and properly, these patients among those hospitalized. Several trials reported the efficacy of PC in improving the QoL in these patients. Each hospital should ensure that a multidisciplinary PC team is available to support attending physicians to achieve the best QoL for both PC patients and their families. This review discusses the role and the impact of in-hospital PC in patients with end-stag...Continue Reading

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Citations

Dec 19, 2018·International Journal of Environmental Research and Public Health·Zhong LiLiang Zhang
Jul 13, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Zhong LiLiang Zhang
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Nov 13, 2020·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Jennifer ManningNicole Jones
Aug 10, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Gülcan BağçivanFatih Selçukbiricik

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