Ideally, palliative care is involved early in the course of illness, and usually in the outpatient setting. With this model of care, the treatment provided is guided by shared decision-making that includes the patient’s voice and a trusted clinician’s input. As the health status of the patient declines over months to years, a transition is made from treatments with curative intent toward therapies designed to optimize comfort. Throughout the entirety of the illness, the clinician also supports the patient and family, managing distress and optimizing quality of life.
Cox CE, Hua M, Casarett D. A Measured Dose of Optimism for the Evolution of ICU-Based Palliative Care. JAMA. Published online October 02, 2019. doi:10.1001/jama.2019.12660
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