Palliative Care for Cancer Survivors

Sydney M. Dy, Sarina R. Isenberg, Nebras Abu Al Hamayel

Research output: Contribution to journalReview articlepeer-review

Abstract

The palliative care approach for survivors begins with comprehensive assessment of communication and advance care planning needs and the physical, psychological and psychiatric, social, spiritual and religious, and cultural domains. Communication and decision-making about difficult issues should include responding to emotions, planning for future communication needs, and considering reasons for miscommunication. Key palliative approaches to symptom management include addressing physical and psychosocial concerns, and using nonpharmacologic approaches first or together with medications. Physicians should address advance care planning in older cancer survivors and those at significant risk of recurrence and mortality, ideally through ongoing conversations in a longitudinal care relationship.

Original languageEnglish (US)
Pages (from-to)1181-1196
Number of pages16
JournalMedical Clinics of North America
Volume101
Issue number6
DOIs
StatePublished - Nov 2017

Keywords

  • Advance care planning
  • Communication
  • Fatigue
  • Pain
  • Palliative care
  • Sleep
  • Survivorship

ASJC Scopus subject areas

  • Medicine(all)

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