The role of palliative care in acute care setting

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Authors: Ondřej Kopecký ^1,2; Kateřina Rusinová ^1,2; Michal Kouba ^1,3; Iva Macová ^1,4
Authors‘ workplace: Centrum podpůrné a paliativní péče VFN v Praze ¹; Klinika anesteziologie a resuscitace 1. LF UK a VFN v Praze ²; Ústav hematologie a krevní transfuze, Praha ³; Radiologická klinika 1. LF UK a VFN v Praze ⁴
Published in: Vnitř Lék 2019; 65(6): 449-455
Category: Review

Overview

While terminal palliative care focuses primarily on the management of symptoms of immediate dying, early palliative care provides an opportunity for the patient and his loved ones to understand the trajectory of the illness, to receive support for coping with the diagnosis, increase the quality of decision-making to match the patient’s values and preferences. The emphasis is on realistic expectations of the outcome of treatment and timely anticipation of further disease course. The paper focuses on an overview of the evidence of palliative and supportive interventions, comparing the different trigger mechanisms for palliative intervention and presents the content of the intervention of the palliative team. The establishment and integration of the consultative palliative team in the tertiary hospital is described. An illustrative care report describes the goals of care conversation and its impact on advance care planning. Palliative care is widely accepted and recommended standard of high quality care for seriously ill patients. In the Czech Republic, it is necessary to extend its availability for patients hospitalized in acute care setting.

Keywords:

goals of care – palliative care – patient preferences – symptoms – treatment limitations

Sources

CAPC Definition of Palliative Care. Dostupné z WWW: <https://www.capc.org/about/palliative-care/>.
Greer JA, Jacobs JM, El-Jawahri A et al. Role of Patient Coping Strategies in Understanding the Effects of Early Palliative Care on Quality of Life and Mood. J Clin Oncol 2018; 36(1) :53–60. Dostupné z DOI: <http://dx.doi.org/10.1200/JCO.2017.73.7221>.
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. J Clin Oncol 2015; 33(13): 1438–1445. Dostupné z DOI: <http://dx.doi.org/10.1200/JCO.2014.58.6362>.
Temel JS, Greer JA, Muzikansky A et al. Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 2010; 363(8): 733–742. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1000678>.
Kavalieratos D, Corbelli J, Zhang D et al. Association Between Palliative Care and Patient and Caregiver Outcomes: A Systematic Review and Meta-analysis. JAMA 2016; 316(20): 2104–2114. Dostupné z DOI: <http://dx.doi.org/10.1001/jama.2016.16840>.
Aslakson R, Cheng J, Vollenweider D et al. Evidence-based palliative care in the intensive care unit: a systematic review of interventions. J Palliat Med 2014; 17(2): 219–235. Dostupné z DOI: <http://dx.doi.org/10.1089/jpm.2013.0409>.
Shin J, Temel J. Integrating palliative care: when and how? Curr Opin Pulm Med 2013; 19(4): 344–349. Dostupné z DOI: <http://dx.doi.org/10.1097/MCP.0b013e3283620e76>.
El-Jawahri A, Paasche-Orlow MK, Matlock D et al. Randomized, Controlled Trial of an Advance Care Planning Video Decision Support Tool for Patients With Advanced Heart Failure. Circulation 2016; 134(1): 52–60. Dostupné z DOI: <http://dx.doi.org/10.1161/CIRCULATIONAHA.116.021937>.
Byram EK. Upstream palliative care for the patient with a left ventricular assist device as destination therapy. Dimens Crit Care Nurs 2012; 31(1): 18–24. Dostupné z DOI: <http://dx.doi.org/10.1097/DCC.0b013e31823a537c>.
El-Jawahri A, Jackson VA, Greer JA et al. Effect of early integrated palliative care on family caregivers (FC) outcomes for patients with gastrointestinal and lung cancer. J Clin Oncol 2016; 34(26 Suppl): 234–234. Dostupné z DOI: <http://dx.doi.org/10.1200/jco.2016.34.26_suppl.234>.
Adelson K, Paris J, Horton JR et al. Standardized Criteria for Palliative Care Consultation on a Solid Tumor Oncology Service Reduces Downstream Health Care Use. J Oncol Pract 2017; 13(5): e431-e440. Dostupné z DOI: <http://dx.doi.org/10.1200/JOP.2016.016808>.
De Palma R, Fortuna D, Hegarty SE et al. Effectiveness of palliative care services: A population-based study of end-of-life care for cancer patients. Palliat Med 2018; 32(8):1344–1352. Dostupné z DOI: <http://dx.doi.org/10.1177/0269216318778729>.
Nelson JE, Mathews KS, Weissman DE et al. Integration of palliative care in the context of rapid response: a report from the Improving Palliative Care in the ICU advisory board. Chest 2015; 147(2): 560–569. Dostupné z DOI: <http://dx.doi.org/10.1378/chest.14–0993>.
Hui D, Mori M, Meng YC et al. Automatic referral to standardize palliative care access: an international Delphi survey. Support Care Cancer 2018; 26(1): 175–180. Dostupné z DOI: <http://dx.doi.org/10.1007/s00520–017–3830–5>.
Hui D, Titus A, Curtis T et al. Implementation of the Edmonton Symptom Assessment System for Symptom Distress Screening at a Community Cancer Center: A Pilot Program. Oncologist 2017; 22(8): 995–1001. Dostupné z DOI: <http://dx.doi.org/10.1634/theoncologist.2016–0500>.
Hua MS, Li G, Blinderman CD et al. Estimates of the need for palliative care consultation across united states intensive care units using a trigger-based model. Am J Respir Crit Care Med 2014; 189(4): 428–436. Dostupné z DOI: <http://dx.doi.org/10.1164/rccm.201307–1229OC>.
Alston CL, Paget GC, Halvorson B et al. Communicating with patients on health care evidence. Discussion Paper 2012; Dostupné z WWW: <https://nam.edu/wp-content/uploads/2015/06/VSRT-Evidence.pdf>.
Bischoff K, O’Riordan DL, Marks AK et al. Care Planning for Inpatients Referred for Palliative Care Consultation. JAMA Intern Med 2018; 178(1): 48–54. Dostupné z DOI: <http://dx.doi.org/10.1001/jamainternmed.2017.6313>. Erratum in Error in Abstract. [JAMA Intern Med. 2018].
Denvir MA, Murray SA, Boyd KJ. Future care planning: a first step to palliative care for all patients with advanced heart disease. Heart 2015; 101(13): 1002–1007. Dostupné z DOI: <http://dx.doi.org/10.1136/heartjnl-2014–306724>.
Grimaldo DA, Wiener-Kronish JP, Jurson T et al. A randomized, controlled trial of advanced care planning discussions during preoperative evaluations. Anesthesiology 2001; 95(1): 43–50; discussion 5A.
Turnbull AE, Sahetya SK, Colantuoni E et al. Inter-rater agreement of intensivists evaluating the goal-concordance of preference-sensitive ICU interventions. J Pain Symptom Manage 2018; 56(3): 406–413.e3. Dostupné z DOI: <http://dx.doi.org/10.1016/j.jpainsymman.2018.06.003>.

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K životnímu jubileu prof. MUDr. Heleny Tlaskalové Hogenové, DrSc.

Z odborné literatury

Article was published in

Internal Medicine

2019 Issue 6