In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer?
Traditionally, palliative care (PC) systems focused on the needs of advanced cancer patients, but most patients needing PC have end-stage organ diseases. Similarly, PC models focus on the needs of patients in hospices or at home; however, in most cases PC is provided in acute hospitals. Indeed, the...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2018-01-01
|
Series: | Journal of Clinical Medicine |
Subjects: | |
Online Access: | http://www.mdpi.com/2077-0383/7/2/18 |
id |
doaj-5ede2cb161fc451e9a781d319fe4322b |
---|---|
record_format |
Article |
spelling |
doaj-5ede2cb161fc451e9a781d319fe4322b2020-11-24T22:54:17ZengMDPI AGJournal of Clinical Medicine2077-03832018-01-01721810.3390/jcm7020018jcm7020018In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer?Paolo Cotogni0Andrea Saini1Anna De Luca2Pain Management and Palliative Care, Department of Anesthesia and Intensive Care, Molinette Hospital and University of Turin, C.so Bramante 88/90, 10126 Turin, ItalyPain Management and Palliative Care, Department of Anesthesia and Intensive Care, Molinette Hospital and University of Turin, C.so Bramante 88/90, 10126 Turin, ItalyPain Management and Palliative Care, Department of Anesthesia and Intensive Care, Molinette Hospital and University of Turin, C.so Bramante 88/90, 10126 Turin, ItalyTraditionally, palliative care (PC) systems focused on the needs of advanced cancer patients, but most patients needing PC have end-stage organ diseases. Similarly, PC models focus on the needs of patients in hospices or at home; however, in most cases PC is provided in acute hospitals. Indeed, the symptom burden that these patients experience in the last year of life frequently forces them to seek care in emergency departments. The majority of them are admitted to the hospital and many die. This issue poses important concerns. Despite the efforts of attending healthcare professionals, in-hospital patients do not receive optimal care near the end-of-life. Also, evidence is emerging that delay in identifying patients needing PC have a detrimental impact on their quality of life (QoL). Therefore, there is an urgent need to identify, early and properly, these patients among those hospitalized. Several trials reported the efficacy of PC in improving the QoL in these patients. Each hospital should ensure that a multidisciplinary PC team is available to support attending physicians to achieve the best QoL for both PC patients and their families. This review discusses the role and the impact of in-hospital PC in patients with end-stage disease or advanced cancer.http://www.mdpi.com/2077-0383/7/2/18palliative care teamseriously ill patientsend-of-lifequality of lifesymptom reliefacute palliative care unitcost savings |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Paolo Cotogni Andrea Saini Anna De Luca |
spellingShingle |
Paolo Cotogni Andrea Saini Anna De Luca In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer? Journal of Clinical Medicine palliative care team seriously ill patients end-of-life quality of life symptom relief acute palliative care unit cost savings |
author_facet |
Paolo Cotogni Andrea Saini Anna De Luca |
author_sort |
Paolo Cotogni |
title |
In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer? |
title_short |
In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer? |
title_full |
In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer? |
title_fullStr |
In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer? |
title_full_unstemmed |
In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer? |
title_sort |
in-hospital palliative care: should we need to reconsider what role hospitals should have in patients with end-stage disease or advanced cancer? |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2018-01-01 |
description |
Traditionally, palliative care (PC) systems focused on the needs of advanced cancer patients, but most patients needing PC have end-stage organ diseases. Similarly, PC models focus on the needs of patients in hospices or at home; however, in most cases PC is provided in acute hospitals. Indeed, the symptom burden that these patients experience in the last year of life frequently forces them to seek care in emergency departments. The majority of them are admitted to the hospital and many die. This issue poses important concerns. Despite the efforts of attending healthcare professionals, in-hospital patients do not receive optimal care near the end-of-life. Also, evidence is emerging that delay in identifying patients needing PC have a detrimental impact on their quality of life (QoL). Therefore, there is an urgent need to identify, early and properly, these patients among those hospitalized. Several trials reported the efficacy of PC in improving the QoL in these patients. Each hospital should ensure that a multidisciplinary PC team is available to support attending physicians to achieve the best QoL for both PC patients and their families. This review discusses the role and the impact of in-hospital PC in patients with end-stage disease or advanced cancer. |
topic |
palliative care team seriously ill patients end-of-life quality of life symptom relief acute palliative care unit cost savings |
url |
http://www.mdpi.com/2077-0383/7/2/18 |
work_keys_str_mv |
AT paolocotogni inhospitalpalliativecareshouldweneedtoreconsiderwhatrolehospitalsshouldhaveinpatientswithendstagediseaseoradvancedcancer AT andreasaini inhospitalpalliativecareshouldweneedtoreconsiderwhatrolehospitalsshouldhaveinpatientswithendstagediseaseoradvancedcancer AT annadeluca inhospitalpalliativecareshouldweneedtoreconsiderwhatrolehospitalsshouldhaveinpatientswithendstagediseaseoradvancedcancer |
_version_ |
1725660894348705792 |