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Education in Palliative and End-of-life Care - Oncology

The. EPEC-O. TM. Education in Palliative and End-of-life Care - Oncology. Project. The EPEC-O Curriculum is produced by the EPEC TM Project with major funding provided by NCI, with supplemental funding provided by the Lance Armstrong Foundation.

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Education in Palliative and End-of-life Care - Oncology

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  1. The EPEC-O TM Education in Palliative and End-of-life Care - Oncology Project The EPEC-O Curriculum is produced by the EPECTM Project with major funding provided by NCI, with supplemental funding provided by the Lance Armstrong Foundation.

  2. EPEC - Oncology Education in Palliative and End-of-life Care - Oncology Plenary 3 Charting the Future

  3. Overall message Palliative care can be integrated into comprehensive cancer care

  4. Objectives • List the important themes from the curriculum • Identify challenges to integration • Reflect on need for personal support

  5. Video

  6. EPEC-O themes • Relief of suffering is part of comprehensive cancer care • Palliative care knowledge is now extensive • Role of families • Teamwork • Oncologist as patient advocate

  7. Relief of suffering • 4 dimensions • Physical • Psychological • Social • Spiritual • Expected by patients, families

  8. Palliative care • Not the absence of care • More powerful than ever in the history of medicine • A positive, humanistic philosophy • Technically sophisticated area of expertise

  9. Families . . . • Cancer involves the whole family • Comprehensive care involves • The chance to be close to family, friends • Family / proxy assistance with decisions • Good communication

  10. . . . Families • None of this is possible without good symptom management

  11. Teamwork . . . • The whole person has cancer, not just his / her physiology • No one person can meet all the needs

  12. . . . Teamwork • Teamwork usually includes • Oncologists • Nurses • Social workers • Chaplains • Others • Palliative care can be integrated into mainstream practice

  13. Advocacy • Professional duty to patient care • Professional duty to ensure availability of services • Personal desire to be able to receive care that relieves suffering and improves quality of life

  14. Challenges to integration • Institutional • Regulations • Reimbursement • Attitudes

  15. Oncologists’ personal support needs . . . • Patients are asking us to do better • Find a forum for candid discussion of experiences • Transference is powerful; personal comfort is important

  16. . . . Oncologists’ personal support needs • Professional distance, empathic closeness must balance • Know yourself

  17. Summary Palliative care can be integrated into comprehensive cancer care

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