Palliative Care Section and Buehler Center on Aging, Health and Society, Feinberg School of Medicine, Northwestern University, 750 N. Lake Shore Drive, Chicago, IL 60611, USA.
Cancer. 2011 Aug;117(15 Suppl):3585-91. doi: 10.1002/cncr.26266.
Patient navigation represents an opportunity to further the integration of palliative care with standard cancer care. This article defines palliative and hospice care and describes some of the current challenges of integrating palliative care into other forms of care. It also considers outcomes that navigation might be expected to improve for patients receiving palliative care or enrolled in hospice. These outcomes include symptom relief; communication efficacy; transitions of care; and access to palliative care, hospice, and bereavement care for families. Although these outcomes may not have been specifically assessed in patients in cancer navigation programs, they represent important outcomes for patients receiving palliative care and their families. It is recognized that the types of outcomes that are important to track for patients and families receiving palliative care should be consistent with outcomes at other stages of illness.
患者导航代表着进一步将姑息治疗与标准癌症护理相结合的机会。本文定义了姑息治疗和临终关怀，并描述了将姑息治疗融入其他形式护理的当前挑战。它还考虑了导航可能会改善接受姑息治疗或参加临终关怀的患者的预后。这些结果包括缓解症状；沟通效果；治疗过渡；以及姑息治疗、临终关怀和丧亲关怀的可及性。尽管这些结果可能尚未在癌症导航计划中的患者中进行专门评估，但它们是接受姑息治疗的患者及其家属的重要结果。人们认识到，对于接受姑息治疗的患者及其家属来说，重要的预后应该与疾病其他阶段的预后一致。
