title: Integrated Palliative Care and Oncologic Care in Non-Small-Cell Lung Cancer.
abstract: Palliative care integrated into standard medical oncologic care will transform the way we approach and practice oncologic care. Integration of appropriate components of palliative care into oncologic treatment using a pathway-based approach will be described in this review. Care pathways build on disease status (early, locally advanced, advanced) as well as patient and family needs. This allows for an individualized approach to care and is the best means for proactive screening, assessment, and intervention, to ensure that all palliative care needs are met throughout the continuum of care. Components of palliative care that will be discussed include assessment of physical symptoms, psychosocial distress, and spiritual distress. Specific components of these should be integrated based on disease trajectory, as well as clinical assessment. Palliative care should also include family and caregiver education, training, and support, from diagnosis through survivorship and end of life. Effective integration of palliative care interventions have the potential to impact quality of life and longevity for patients, as well as improve caregiver outcomes.
authors.affiliation: Hospice and Palliative Medicine, Stanford University School of Medicine, 2502 Galahad Court, San Jose, CA, 95122, USA. divya3@stanford.edu.
authors.forename: Divya
authors.initials: D
authors.lastname: Chandrasekar
authors.affiliation: General Medical Disciplines, Stanford University School of Medicine, Medical School Office Building, 1265 Welch Road, MC 5475, Stanford, CA, 94305, USA.
authors.forename: Erika
authors.initials: E
authors.lastname: Tribett
authors.affiliation: Outpatient Palliative Medicine, Stanford Cancer Institute, Medical School Office Building, 1265 Welch Road MC 5475, Stanford, CA, 94305, USA.
authors.forename: Kavitha
authors.initials: K
authors.lastname: Ramchandran
mesh_terms: D000072716:Cancer Pain / Q000628:therapy; D002289:Carcinoma, Non-Small-Cell Lung / Q000628:therapy*; D017028:Caregivers; D006801:Humans; D008175:Lung Neoplasms / Q000628:therapy*; D010166:Palliative Care; D013315:Stress, Psychological
keywords: Caregiver; Geriatric; Lifestyle; Multidisciplinary; Non-small-cell lung cancer; Palliative; Psychosocial; Quality of life; Spiritual; Survivorship; Symptom; Value