Palliative Care Case Study

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I. PALLIATIVE CARE & ITS INTEGRATION INTO CANCER CARE Palliative care is a branch of medicine with the goal of preventing and relieving pain and suffering. According to WHO[1], palliative care:  “provides relief from pain and other distressing symptoms”;  “affirms life and regards dying as a normal process”;  “intends neither to hasten or postpone death”;  “integrates the psychological and spiritual aspects of patient care”;  “offers a support system to help patients live as actively as possible until death”;  “offers a support system to help the family cope during the patients illness and in their own bereavement”;  “uses a team approach to address the needs of patients and their families, including bereavement counselling, if…show more content…
There are six oncology centres in Hong Kong, offering clinical oncological service (both medical & radiation oncology) and palliative care. In 2007, with the support from charity funding, day hospice centers were established in all six centres. A more comprehensive structure of palliative care supporting in-patient care, out-patient clinics, ambulatory and home hospice was then developed which was never before. The palliative service is led and coordinated by clinical oncologists who have obtained dual specialist qualifications of clinical oncology and palliative medicine from the training by the Hong Kong College of Radiologists. Palliative service is delivered in a multidisciplinary team approach to address the needs of patients and their families, including bereavement counselling. In this way, oncological and palliative cares are provided in a one-stop service with an early introduction and access to palliative care. This approach is advocated by the ESMO Programme of Designated Centre of Integrated Oncology and Palliative Care [11]. There are three oncology centers in Hong Kong being accredited as ESMO Designated Centre under such scheme at the time…show more content…
Their service is more focused on the palliative care at terminal phase of life. The scope of service is more extensive nowadays. The scope has expanded to cover the terminal non-malignant diseases in addition to cancers. The collaborative model between palliative care teams of clinical oncologists and internal medicine physicians secured a continual and seamless transition of palliative care from active oncological treatment to end-of-life care. It expanded the access to palliative care service under the restraint of resource capacity. It may also mitigate the fear of being abandoned that some patients feel when referred to a palliative care service at the terminal stage of

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