title: Palliative Care and Physiatry in the Oncology Care Spectrum: An Opportunity for Distinct and Collaborative Approaches.
abstract: As cancer evolves from a terminal illness to a chronic medical condition, so too does the view of clinical services. Palliative care and physical medicine and rehabilitation (PM&R) will increase in acceptance because they provide a valuable resource. The overarching theme is improving cancer-related symptoms or treatment-related side effects, improving patient health-related quality of life, lessening caregiver burden, and valuing patient-centered care and shared decision making. Managing symptom burden may improve therapy participation/performance. PM&R and palliative care departments are well-equipped to develop patient-centered care protocols, and could play an important role in developing a universal measure of performance status.
authors.affiliation: Division of Rehabilitation Medicine, Levine Cancer Institute, 1021 Morehead Medical Drive, Charlotte, NC 28204, USA; Department of Physical Medicine and Rehabilitation, Carolinas Rehabilitation, 1100 Blythe Boulevard, Charlotte, NC 28203, USA. Electronic address: vishwa.raj@carolinashealthcare.org.
authors.forename: Vishwa S
authors.initials: VS
authors.lastname: Raj
authors.affiliation: Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, 300 First Avenue, Charlestown, MA 02129, USA.
authors.forename: Julie K
authors.initials: JK
authors.lastname: Silver
authors.affiliation: Department of Physical Medicine and Rehabilitation, Carolinas Rehabilitation, 1100 Blythe Boulevard, Charlotte, NC 28203, USA.
authors.forename: Terrence M
authors.initials: TM
authors.lastname: Pugh
authors.affiliation: Department of Palliative, Rehabilitation, and Integrative Medicine, MD Anderson Cancer Center, University of Texas, 1515 Holcombe Boulevard, Unit 1414, Houston, TX 77030, USA.
authors.forename: Jack B
authors.initials: JB
authors.lastname: Fu
mesh_terms: D017028:Caregivers / Q000523:psychology; D006801:Humans; D009369:Neoplasms / Q000628:therapy*; D010166:Palliative Care / Q000379:methods*; D018802:Patient-Centered Care; D010810:Physical and Rehabilitation Medicine / Q000379:methods*; D011788:Quality of Life
keywords: Cancer rehabilitation; Function; Palliative care; Quality of life; Supportive oncology; Survivorship; Symptom management