Essential competencies in palliative medicine for neuro-oncologists Journal Article


Authors: Thomas, A. A.; Carver, A.
Article Title: Essential competencies in palliative medicine for neuro-oncologists
Abstract: Palliative care is an approach to practicing medicine that addresses symptom management, alleviation of pain, assessment of psychosocial and spiritual distress or suffering, and practical support for patients and their caregivers with a goal of improving quality of life for patients with serious and life-threatening illnesses. Although palliative care has gained acceptance as an important part of comprehensive cancer care at the end of life, early integration of palliative care is less common. Patients with high-grade malignant gliomas have an invariably poor prognosis and high morbidity. With short survival times and complex neurological and systemic symptoms, these patients require palliative care from the time of diagnosis. In this review, we highlight the palliative care needs of neurooncology patients at diagnosis, during treatment, and at the end of life. We identify some of the barriers to incorporation of palliative care in standard neuro-oncology practice and equate competency in neuro-oncology with competency in the basic tenets of palliative medicine. © The Author(s) 2015.
Keywords: cancer chemotherapy; cancer survival; fatigue; paclitaxel; topotecan; cancer staging; brain tumor; glioma; palliative care; quality of life; haloperidol; lorazepam; olanzapine; quetiapine; delirium; palliative therapy; dexamethasone; information processing; irinotecan; health program; depression; etiracetam; phenobarbital; glioblastoma; distress syndrome; cognitive defect; seizure; headache; clonazepam; hydration; phenytoin; valproic acid; emotional stress; psychologic assessment; carbamazepine; end of life; agitation; nutrition; neuro-oncology; diazepam; cancer prognosis; human; priority journal; article; symptom assessment; behavior assessment
Journal Title: Neuro-Oncology Practice
Volume: 2
Issue: 3
ISSN: 2054-2577
Publisher: Oxford University Press  
Date Published: 2015-09-01
Start Page: 151
End Page: 157
Language: English
DOI: 10.1093/nop/npv011
PROVIDER: scopus
PMCID: PMC6668271
PUBMED: 31386098
DOI/URL:
Notes: Article -- Export Date: 1 June 2018 -- Source: Scopus
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MSK Authors
  1. Alan C Carver
    32 Carver
  2. Alissa A Thomas
    17 Thomas
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