An article from Scientific American cites findings from several studies showing how palliative services started earlier in patient care, rather than the current practice of late in the course of the disease, may offer important benefits. However, before this care option can be more widely implemented, there needs to be an increase in patients’ access to outpatient palliative services. Experts also say work needs to be done with correcting the misconception that palliative care is only for end-of-life situations.
Palliative care focuses on maintaining the highest quality of life while managing treatment and other needs. It has expanded to include multidisciplinary services such as the physical, psychological and spiritual needs of patients and their families. This differs from hospice care which specifically focuses on the period closest to death. Hospice care is limited to comfort care without curative intent as the patient no longer has curative options or has chosen not to pursue treatment because the side effects outweigh the benefits.
The National Institute of Health explains palliative care is currently most often started late in patients with life-threatening conditions, particularly in patients with advanced cancer. However, they too cite real life studies indicating an early palliative care (EPC) paradigm can give patients a better quality of life.
The benefits of the supportive services provided with earlier palliative care have been shown to not only help control patients’ symptoms and provide pain care but address other problems. These include depression and anxiety as well as a reduction in the number of trips to the hospital. One study found patients suffering from COPD, heart failure or lung disease that received telehealth visits showed an improved quality of life that continued for months after the calls concluded. Medical professionals say since there is a limited amount of outpatient palliative services currently available; they recommend patients with the most severe symptoms should receive the care.
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