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Posted: June 6th, 2021
Palliative Care Delivery Models for Patients with Cancer
Palliative care is a specialized form of medical care that aims to improve the quality of life and quality of care for patients with cancer and their families. Palliative care can be delivered by different models, depending on the patient’s needs, preferences, and goals of care. In this blog post, we will review some of the common models of palliative care delivery for patients with cancer and discuss their benefits and challenges.
Outpatient Palliative Care Clinics
Outpatient palliative care clinics are one of the key points of entry for timely access to palliative care. In this model, patients with cancer can receive longitudinal palliative care services in a clinic setting, such as symptom management, monitoring, education, and advance care planning. Outpatient palliative care clinics can be embedded within oncology clinics or operate as standalone clinics. Outpatient palliative care clinics can enhance patient satisfaction, quality of life, symptom control, and communication with oncology teams . However, some of the challenges of this model include limited availability, accessibility, and awareness of outpatient palliative care services, as well as potential fragmentation of care between oncology and palliative care teams .
Inpatient Palliative Care Consultation Teams
Inpatient palliative care consultation teams provide expert symptom management and discharge planning for acutely symptomatic hospitalized patients with cancer. In this model, palliative care specialists work collaboratively with oncology teams to address the physical, emotional, social, and spiritual needs of patients and families. Inpatient palliative care consultation teams can reduce hospital length of stay, costs, and readmissions, as well as improve patient satisfaction, quality of life, and end-of-life care . However, some of the challenges of this model include limited availability and staffing of inpatient palliative care teams, as well as potential delays in referral or involvement of palliative care specialists .
Acute Palliative Care Units
Acute palliative care units (APCUs) are specialized hospital units that provide intensive symptom management and end-of-life care for patients with cancer who have the highest level of distress and complexity. In this model, patients are admitted to APCUs from other hospital settings or from the community when their symptoms cannot be adequately managed elsewhere. APCUs are staffed by multidisciplinary palliative care teams that offer comprehensive supportive care in a comfortable and homelike environment. APCUs can improve symptom control, quality of life, and quality of death for patients with cancer . However, some of the challenges of this model include limited availability and capacity of APCUs, as well as potential barriers to access or referral to APCUs .
Community-Based Palliative Care
Community-based palliative care is a model that provides home-based or outpatient palliative care services for patients with cancer who have a poor performance status and low to moderate symptom burden. In this model, palliative care specialists visit patients at home or in other community settings, such as nursing homes or assisted living facilities. Community-based palliative care can reduce hospitalizations, emergency department visits, and costs, as well as improve patient satisfaction, quality of life, and caregiver burden . However, some of the challenges of this model include limited availability and coverage of community-based palliative care services, as well as potential difficulties in coordination and communication between community-based and hospital-based providers .
Hospice Care
Hospice care is a model that provides end-of-life care for patients with cancer who have a prognosis of less than six months and who have decided to forego curative or life-prolonging treatments. In this model, hospice teams provide physical, emotional, social, and spiritual support to patients and families at home or in other settings, such as hospice facilities or nursing homes. Hospice care can improve symptom control, quality of life, quality of death, and bereavement outcomes for patients with cancer . However, some of the challenges of this model include late or underutilization of hospice services by patients with cancer, as well as potential misconceptions or stigma associated with hospice care .
Conclusion
Palliative care delivery models for patients with cancer vary in their settings, populations served, intensity of services provided, and goals of care. Each model has its own benefits and challenges for patients with cancer and their families. The optimal model of palliative care delivery depends on the individual needs and preferences of each patient with cancer. Therefore, it is important to assess the patient’s needs regularly and adjust the model accordingly. Palliative care should be integrated early and throughout the course of cancer treatment to provide comprehensive and holistic care for patients with cancer and their families.
Bibliography – Homework Help With Writing Assignment – Bibliography
Hui D, Bruera E. Models of Palliative Care Delivery for Patients With Cancer. J Clin Oncol. 2020;38(9):852-865. doi:10.1200/JCO.18.02123
Grudzen CR, Barker PC, Bischof JJ, et al. Palliative care models for patients living with advanced cancer: a narrative review for the emergency department clinician. Emerg Cancer Care. 2022;1(1):10. doi:10.1186/s44201-022-00010-9
Hui D, Kim SH, Roquemore J, et al. Impact of timing and setting of palliative care referral on quality of end-of-life care in cancer patients. Cancer. 2014;120(11):1743-1749. doi:10.1002/cncr.28628
Gade G, Venohr I, Conner D, et al. Impact of an inpatient palliative care team: a randomized control trial. J Palliat Med. 2008;11(2):180-190. doi:10.1089/jpm.2007.0055
May P, Garrido MM, Cassel JB, et al. Prospective cohort study of hospital palliative care teams for inpatients with advanced cancer: earlier consultation is associated with larger cost-saving effect. J Clin Oncol. 2015;33(25):2745-2752. doi:10.1200/JCO.2014.60.2334
Hui D, Bansal S, Strasser F, et al. Indicators of integration of oncology and palliative care programs: an international consensus. Ann Oncol. 2015;26(9):1953-1959. doi:10.1093/annonc/mdv269
Hui D, Park M, Liu D, et al. Impact of an acute palliative care unit on symptom control and hospital length of stay in patients with advanced cancer: a retrospective cohort study [published online ahead of print, 2021 Oct 13]. Support Care Cancer. 2021;10.1007/s00520-021-06600-8.
Hui D, Park M, Liu D, et al. Outcomes of an acute palliative care unit in a comprehensive cancer center [published online ahead of print, 2020 Jul 14]. Oncologist. 2020;10.1634/theoncologist.2020-0216.
Hui D, Kim YJ, Park JC, et al. Integration of oncology and palliative care: a systematic review [published online ahead of print, 2014 Dec 22]. Oncologist. 2015;20(1):77-83.
Brumley R, Enguidanos S, Jamison P, et al. Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care [published correction appears in J Am Geriatr Soc . 2007 Sep;55(9):1506]. J Am Geriatr Soc . 2007;55(7):993-1000.
Temel JS, Greer JA, El-Jawahri A, et al. Effects of Early Integrated Palliative Care in Patients With Lung and GI Cancer: A Randomized Clinical Trial [published correction appears in J Clin Oncol . 2017 Apr 20;35(12):1392]. J Clin Oncol . 2017;35(8):834-841.
Bakitas MA, Tosteson TD, Li Z, et al. Early Versus Delayed Initiation of Concurrent Palliative Oncology Care: Patient Outcomes in the ENABLE III Randomized Controlled Trial [published correction appears in J Clin Oncol . 2015 Aug 20;33(24):2758]. J Clin Oncol . 2015;33(13):1438-1445.
Connor SR, Pyenson B, Fitch K, Spence C, Iwasaki K (2007) Comparing hospice and nonhospice patient survival among patients who die within a three-year window [published correction appears in J Pain Symptom Manage . 2008 Jan;35(1):114]. J Pain Symptom Manage . 2007;33(3):238-246.
Wright AA , Zhang B , Ray A , Mack JW , Trice E , Balboni T , Mitchell SL , Jackson VA , Block SD , Maciejewski PK , Prigerson HG (2008
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