ABSTRACT
Palliative care is an approach to care that seeks to improve the quality of life of
patients and families facing problems due to life-threatening malignancies. Interventional
radiology offers diagnostic, therapeutic, and palliative procedures that provide tangible
benefits to oncology patients. A comprehensive evaluation and goals of care discussion
will facilitate appropriate treatment recommendations from interventionalists. We
describe a framework, with suggested questions for patients, which will enhance the
level of communication between interventionalists and oncology patients.
KEYWORDS
Palliative care - decision making - ethics - goals of care - interventional radiology
REFERENCES
- 1 World Health Organization .WHO definition of palliative care. Available at: http://www.who.int/cancer/palliative/definition/en Accessed December 8, 2006
- 2
Walsh T D.
Continuing care in a medical center: the Cleveland Clinic Foundation Palliative Care
Service.
J Pain Symptom Manage.
1990;
5
273-278
- 3 Available at .http://www.abms.org/Downloads/News/NewsubcertinPalliativeMedicine101006FINAL.pdf Accessed December 6, 2006
- 4
Meyers F J, Linder J.
Simultaneous care: disease treatment and palliative care throughout illness.
J Clin Oncol.
2003;
21
1412-1415
- 5
Murphy T P.
Clinical interventional radiology: serving the patient.
J Vasc Interv Radiol.
2003;
14
401-403
- 6
Becker G J.
The 1999 Charles T. Dotter Lecture. Interventional radiology 2000 and beyond; back
from the brink.
J Vasc Interv Radiol.
1999;
10
681-687
- 7
Emanuel L L, Alpert H R, Emanuel E E.
Concise screening questions for clinical assessments of terminal care: the needs near
the end-of-life care screening tool.
J Palliat Med.
2001;
4
465-474
- 8
Steinhauser K E, Bosworth H B, Clipp E C et al..
Initial assessment of a new instrument to measure quality of life at the end of life.
J Palliat Med.
2002;
5
829-841
- 9
Okon T R, Evans J M, Gomez C F, Blackhall L J.
Palliative educational outcome with implementation of PEACE tool integrated clinical
pathway.
J Palliat Med.
2004;
7
279-295
- 10 Miller B L.
“Autonomy.” In: Post S Encyclopedia of Bioethics. Vol. 1. 3rd ed. New York; Macmillan Reference
USA 2004: 246-251
- 11
Epstein M.
Why effective consent presupposes autonomous authorization: a counterorthodox argument.
J Med Ethics.
2006;
32
342-345
- 12
Scott D W.
Anxiety, critical thinking and information processing during and after breast biopsy.
Nurs Res.
1983;
32
24-28
- 13
Patrick D L, Starks H E, Cain K C, Uhlmann R F, Pearlman R A.
Measuring preferences for health states worse than death.
Med Decis Making.
1994;
14
9-18
- 14
Fried T R, Bradley E H, Towle V R, Allore H.
Understanding the treatment preferences of seriously ill patients.
N Engl J Med.
2002;
346
1061-1066
- 15
Meier D E, Morrison R S.
Autonomy reconsidered.
N Engl J Med.
2002;
346
1087-1089
Toby C CampbellM.D.
Assistant Professor, Division of Hematology/Oncology, University of Wisconsin-Madison
600 Highland Avenue, MC 5669, Madison, WI 53792
Email: tcc@medicine.wisc.edu