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Surg Clin North Am. 2019 Oct;99(5):823-831. doi: 10.1016/j.suc.2019.06.001. Epub 2019 Jul 25.

Concurrent Palliative Care for Surgical Patients.

Author information

1
Department of Surgery, Division of General Surgery, Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington Avenue, 5-562, New York, NY 10032, USA; Department of Medicine, Division of Hematology/Oncology, Adult Palliative Medicine Service, Columbia University Medical Center, New York, NY, USA. Electronic address: Ab1254@cumc.columbia.edu.
2
Tucson Medical Center Palliative Care, Tucson Medical Center, 5301 E. Grant Road, Tucson, AZ 85712, USA; University of Arizona Phoenix, Phoenix, AZ, USA.

Abstract

A common fallacy prevalent in surgical culture is for surgical intervention and palliation to be regarded as mutually exclusive or sequential strategies in the trajectory of surgical illness. Modern surgeons play a complex role as both providers and gatekeepers in meeting the palliative needs of their patients. Surgical palliative care is ideally delivered by surgical teams as a component of routine surgical care, and includes management of physical and psychosocial symptoms, basic communication about prognosis and treatment options, and identification of patient goals and values. Specialty palliative care services may be accessed through a through a variety of models.

KEYWORDS:

Concurrent palliative care; Palliative care models of integration; Palliative surgery; Surgical palliative care; Surgical patients

PMID:
31446911
DOI:
10.1016/j.suc.2019.06.001
[Indexed for MEDLINE]

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