Palliative care and advance care planning for patients with advanced malignancies

摘要: Patients diagnosed with an advanced cancer frequently have a very limited life expectancy and need to understand their prognosis in order make good choices about care. Advance care planning (ACP) is important aspect of this but can be especially difficult address. Most patients families prefer direct honest communication, they may interpret the information are given different ways. In addition, oncologists strive communicate honestly sensitively, often struggle best approach. Finally, standardization ACP challenging because highly individualized values, traditions social family dynamics that guide preferences. Palliative Care rapidly growing field specializes communication patient-centered approaches Treatment or metastatic should prioritize early discussions ensure high quality endof- When available, delivered through careful integration palliative specialists.