'Would you like to talk about your future treatment options'? Discussing the transition from curative cancer treatment to palliative care.

摘要: Palliative care focuses on improving quality of life for patients with life-threatening illness and their families. There comes a time when actively pursuing aggressive curative treatment may do more harm than good. The cessation is often viewed as distinct event; however, current practice guidelines suggest that palliative approach should be gradually adopted the disease progresses. challenge how to facilitate sensitive transition from care. On basis an extensive literature review, recommended steps facilitating this have been outlined. recommendations cover: timing discussion; preparing environment circumstances consultation; initiating identifying information provided; responding person's emotional reaction; introducing services; continuity care; family concerns; cultural linguistic diversity; concluding discussion. These were based best available evidence. However, there paucity research in area, only three relevant systematic reviews randomized controlled trials identified one these related directly majority was descriptive need high area.