Impact of integrated palliative care in acute and aggressive medical care for patients with advanced haematological malignancies: a retrospective matched case-control study

Chan, Kwok Ying; Gill, Harinder; Chan, Tsai Hor; Li, Cho Wing; Tsang, Kwok Wai; Au, Ho Yan; Wong, Chi Yan; Hui, Chun; Mok, Lesley Wan Sze

doi:10.1016/s1470-2045(22)00409-0

Cited by 2 publications

(2 citation statements)

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“…It has been observed in patients with advanced haematological malignancies are more likely to receive intensive treatments near the EOL and are less commonly referred to PC programs than those with solid tumours ( 7 ). The implementation of PC interventions into malignant hematology/BMT unit is more challenging due to issues with the emerging novel treatments and a lack of understanding between patients’ families and healthcare professionals regarding disease trajectory and prognosis.…”

Section: Discussionmentioning

confidence: 99%

“…Our PC ward had already equipped with those necessary medications and transfusion requirements for caring haematology cancer patients during their end-of-life (EOL) ( 6 , 7 ). As such, supportive transfusion was maintained while the frequency of blood taking was reduced gradually as far as her anaemia symptom was not affected and there was no major bleeding.…”

Section: Case Presentationmentioning

confidence: 99%

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Incorporating transitional palliative care in a bone marrow transplant unit by serious illness conversation: a case report

Tsang¹,

Au²,

Sim³

et al. 2023

AME Case Rep

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Background Transplant professionals are specialized in providing lifesaving organs to patients in whom organ failure including bone marrow, in a way that gives strong hope to patients and families. We should be aware of that patients with advanced medical conditions must have an advanced care planning (ACP) in place, though it is difficult to balance possible outcomes and hope. Case Description This case report showed our serious illness conversation program (SICP) could transit gradually a patient with bone marrow transplant (BMT) and palliative care (PC) needs to hospice care. Initially, she had difficulty in accepting the relapse of her hematological disease, with the main focus on disease treatment and blood parameters. After the transition, this patient’s symptoms got better, she felt more stable emotionally, her muscle strength improved, and her hope was reignited because she wanted to go to her daughter’s wedding. All these have been facilitated by the PC team. Conclusions In this case, use of SIC can be regarded as a tool to facilitate better communication and so lead to faster and smoother transition to PC and subsequently hospice care. The use of chemotherapy (e.g., vidaza), on the other hand, had important palliative roles including for symptom control, maintaining patient’s mobility and quality of life. Despite her condition being gradually deteriorated, her grief could be largely resolved if most of the wishes fulfilled.

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Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%