Interventional and Surgical Palliative Care
It’s been a fascinating journey for me to learn about the differing views of what palliative means to different fields:
By the end of the month, the hope is that participants will have a clearer understanding of what palliative surgery means, as well as the palliative needs of the surgical patient - from the biopsychosocial perspective, as well as decision-making.
- in hospice, when I first started, it often meant being with dying with some help from a handful of medicines;
- in oncology, it seemed to mean any treatment without curative intent - i.e. when the treatment would not cure, it was deemed palliative, often regardless of whether it alleviated symptoms or not;
- then I met a Surgical Oncologist at a tumor board, who clearly stated - we need to work on this term, leaning into people who over- or under-used this descriptor. He asks, “what are we palliating when we call it palliative surgery or chemo?” Much of surgery is for symptom management, but it’s approach and it’s consideration differs from surgery used for curative intent.
By the end of the month, the hope is that participants will have a clearer understanding of what palliative surgery means, as well as the palliative needs of the surgical patient - from the biopsychosocial perspective, as well as decision-making.
Articles
Overview:
Palliative surgery for cancer pain
Surgical Oncology & Palliative Care:
Nursing and Psychosocial Perspectives in surgery
Thoracic Surgery & Breathlessness:
Trauma Surgery and Palliative Care:
- Palliative medicine and modern technology. John F. Seely, MD and Balfour M. Mount, MD;CMAJ November 2, 1999vol. 161 no. 9 1120-1121 http://ecmaj.ca/content/161/9/1120.full - free full tex
- Surgical Clinics of North America - April 2011 http://www.surgical.theclinics.com/issues?issue_key=S0039-6109(11)X0002-6
Palliative surgery for cancer pain
- Laurence McCahill and Betty Ferrell; West J Med. 2002 March; 176(2): 107–110. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071678/
Surgical Oncology & Palliative Care:
- Hyperthermic Intraperitoneal Chemotherapy Versus Systemic Chemotherapy and Palliative Surgery in Patients With Peritoneal Carcinomatosis of Colorectal Cancer; Vic J. Verwaal, Serge van Ruth, Eelco de Bree, Gooike W. van Slooten, Harm van Tinteren, Henk Boot, Frans A.N. Zoetmulder; JCO October 15, 2003 vol. 21no. 20 3737-3743. doi: 10.1200/JCO.2003.04.187 http://jco.ascopubs.org/content/21/20/3737
- Malignant Bowel Obstruction: A Review of Current Treatment Strategies E A Dolan; Am J Hosp Palliat Care (2011) PMID 21504999http://ajh.sagepub.com/content/early/2011/04/19/1049909111406706.long
- Endoscopic Palliation in Patients With Incurable Malignant Colorectal Obstruction by Means of Self-expanding Metal Stent: Analysis of Results and Predictors of Outcomes in a Large Multicenter Series. Gianpiero Manes, Mario de Bellis, Lorenzo Fuccio, Alessandro Repici, Enzo Masci, Sandro Ardizzone, Benedetto Mangiavillano, Alessandra Carlino,Giovanni Battista Rossi, Pietro Occhipinti and Vincenzo Cennamo; Arch Surg146(10):1157-62 (2011) PMID 22006874 http://archsurg.ama-assn.org/cgi/content/short/146/10/1157
Nursing and Psychosocial Perspectives in surgery
- Restoring a sense of wellness following colorectal cancer: a grounded theory Nicola Beech, Anne Arber and Sara Faithfull J Adv Nurs (2011) PMID 21895739http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2011.05820.x/full
- Life is back to normal and yet not - partners’ and patient’s experiences of life of the first year after colorectal cancer surgery Emma Ohlsson-Nevo, Birgitta Andershed, Ulrica Nilsson and Agneta Anderzén-Carlsson; J Clin Nurs (2011)PMID 21883573http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2011.03830.x/abstract
Thoracic Surgery & Breathlessness:
- Surgical and endoscopic palliation of advanced lung cancer. Aaron M Cheng andDouglas E Wood; Surg Oncol Clin N Am 20(4):779-90 (2011) PMID 21986272http://www.surgonc.theclinics.com/article/S1055-3207(11)00043-3/abstract
- Single-center experience with 250 tunnelled pleural catheter insertions for malignant pleural effusion.Alain Tremblay and Gaëtane Michaud; Chest 129(2):362-8 (2006) PMID 16478853 http://chestjournal.chestpubs.org/content/129/2/362.long (free)
Trauma Surgery and Palliative Care:
- Trauma care and palliative care: time to integrate the two? Anne C Mosenthal and Patricia A Murphy; J Am Coll Surg 197(3):509-16 (2003) PMID 12946807http://www.promotingexcellence.org/downloads/jacs_0903.pdf (free)