Palliative Care in Lung Cancer
Lung cancer is the most common cancer worldwide and is the leading cause of cancer death for both men and women in the USA. Symptom burden in patients with advanced lung cancer is very high and has a negative impact on their quality of life (QOL). Palliat
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Abstract
Lung cancer is the most common cancer worldwide and is the leading cause of cancer death for both men and women in the USA. Symptom burden in patients with advanced lung cancer is very high and has a negative impact on their quality of life (QOL). Palliative care with its focus on the management of symptoms and addressing physical, psychosocial, spiritual, and existential suffering, as well as medically appropriate goal setting and open communication with patients and families, significantly adds to the quality of care received by advanced lung cancer patients. The Provisional Clinical Opinion (PCO) of American Society of Clinical Oncology (ASCO) as well as the National Cancer Care Network’s (NCCN) clinical practice guidelines recommends early integration of palliative care into routine cancer care. In this chapter, we will provide an overview of palliative care in lung cancer and will examine the evidence and recommendations with regard to a comprehensive and interdisciplinary approach to symptom management, as well as discussions of goals of care, advance care planning, and care preferences. Keywords
Lung cancer Palliative care Advanced care planning
Symptom management
Goals of care
A.M. Shinde (&) Department of Hematology and Oncology, Samuel Oschin Cancer Center, 8700 Beverly Blvd, AC1045, Los Angeles, CA 90048, USA e-mail: [email protected] A.M. Shinde A. Dashti Department of Medicine, Supportive Care Medicine Program, Cedars Sinai Medical Center, Becker Bldg., B224, 8700 Beverly Blvd, Los Angeles, CA 90048, USA e-mail: [email protected] © Springer International Publishing Switzerland 2016 K.L. Reckamp (ed.), Lung Cancer, Cancer Treatment and Research 170, DOI 10.1007/978-3-319-40389-2_11
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A.M. Shinde and A. Dashti
Contents 1 Introduction........................................................................................................................ 1.1 Definition of Palliative Care....................................................................................... 1.2 Palliative Care in Lung Cancer.................................................................................. 1.3 Palliative Care Domains .............................................................................................
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2 Symptom Assessment and Management ......................................................................... 2.1 Pain ............................................................................................................................. 2.2 Respiratory Symptoms—Dyspnea, Cough, and Hemoptysis .................................... 2.3 Gastrointestinal Symptoms ......................................................................................... 2.4 Cancer-Related Fatigue .............................................................................................. 2.5 Sleep Disturbances ..................................................................................................... 2.6 Depression ...................................
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