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Palliative Oncology

Palliative oncology is a subspecialty focused on improving the quality of life of cancer patients and their families by addressing physical, emotional, psychological, and spiritual needs throughout the cancer journey, not just at the end of life.

Goals of Palliative Care in Oncology

Relieve pain and other distressing symptoms
Provide psychosocial and spiritual support
Help with decision-making and advance care planning
Support family and caregivers
Improve quality of life across all stages of cancer

Key Components of Palliative Oncology

  • Pain (opioids, adjuvants, radiation for bone mets)
  • Fatigue
  • Nausea/vomiting
  • Anorexia/cachexia
  • Dyspnea
  • Constipation/diarrhea
  • Delirium/confusion
  • Depression/anxiety
  • Discuss prognosis and goals of care
  • Clarify patient values and preferences
  • Guide advance directives and code status
  • Family meetings and support
  • Counseling, support groups
  • Spiritual care providers (chaplains)
  • Grief and bereavement services