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Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

1958 - A Survey on purview of palliative medicine services among the delegates of a national conference on supportive medicine

Date

22 Oct 2018

Session

Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

Presenters

Rahul Arora

Citation

Annals of Oncology (2018) 29 (suppl_8): viii603-viii640. 10.1093/annonc/mdy300

Authors

R.D. Arora

Author affiliations

  • Palliative Medicine, All India Institute of Medical Sciences, 110029 - New Delhi/IN
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Resources

Abstract 1958

Background

The provision of personalized, symptom oriented, patient centered care at an early stage in the patient’s trajectory of illness is the philosophy that underlies supportive care.

Methods

A questionnaire based on clinical scenarios encountered in the integrated inpatient palliative medicine unit was carried out among the registered delegates of the annual Indian association of Palliative care conference.

Results

Interventional pain procedures (65.49 percent) and counseling regarding goals of care and provision of palliative sedation (57.75 percent) were considered the main indications for an inpatient palliative medicine unit admission. A majority (66.89 percent) agreed that the duration of inpatient stay should be defined by the stage of the illness. 48.9 percent agreed that pulse oximetry should be available for all inpatients. Acute kidney injury and dyselectrolytemia were considered valid indications for an ICU admission. 36.9 percent felt that use of non-invasive ventilation strategies, antibiotic stewardship, management of sepsis and dyselectrolytemia should be duties of a palliative medicine professional in the ICU. 48.3 percent, 65.31 percent and 50.34 percent of individuals reported that the timing of intervention, healthcare professional involved and subset of patients involved were the differences between supportive oncology and palliative medicine.Table: 1765P

Purview of early palliative medicine

1.Management of complex psychiatric symptoms34.87 %
2.Management of chemotherapy related complications40.79 %
3.Counselling regarding goals of care80.92 %
4.Assessment of quality of life73.68 %
5.Interventional pain management techniques50.66 %

Conclusions

There is an overlap in nature of supportive medicine services provided by a medical oncology and palliative/supportive medicine team. A practical, cost effective and resource intensive solution lies in building a workforce of health care professionals from palliative/supportive medicine who are well trained in supportive oncology. Inpatient admission is integral to sustain a cost effective model of delivery of supportive medicine services, however a consensus on the guidelines which govern the establishment and functioning of such a unit need to be developed.

Clinical trial identification

Legal entity responsible for the study

Rahul D. Arora.

Funding

Has not received any funding.

Editorial Acknowledgement

Disclosure

The author has declared no conflicts of interest.

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