Palliative care in gynecologic oncology. Issue 1 (February 2018)

• Record Type: Journal Article
• Authors: Karlin, Daniel; Phung, Peter; Pietras, Christopher
• Is Part Of: Current opinion in obstetrics and gynecology. Volume 30:Issue 1(2018:Feb.)
• Publication Date: 2018-02
• Subjects: advance care planning -- gynecologic malignancies -- malignant bowel obstruction -- pain -- palliative care; Obstetrics -- Periodicals; Gynecology -- Periodicals; Genital Diseases, Female -- Indexes; Genital Diseases, Female -- Periodicals; Obstetrics -- Indexes; Obstetrics -- Periodicals; Review Literature -- Periodicals; 618.005
• DOI: 10.1097/GCO.0000000000000426
• Languages: English
• ISSNs: 1040-872X

Abstract

Abstract : Purpose of review: Patients with gynecologic malignancies face many difficult issues in the course of their diseases, ranging from physical symptoms to advance care planning in light of a poor prognosis. This review examines the evidence supporting integration of palliative care early in the course of disease and symptom management, and provides a framework for difficult conversations. Recent findings: Palliative care has been demonstrated to improve quality of life and promote survival if integrated early in the course of disease. An evidence-based approach should guide symptom management, such as pain and nausea. Advance care planning and goals of care discussions are enhanced by a framework guiding discussion and the incorporation of empathetic responses. Summary: Palliative care is a diverse multidisciplinary field that can provide significant benefit for patients with gynecologic malignancies.