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The EPEC-O Curriculum is produced by the EPEC TM Project with major funding provided by NCI, with supplemental funding provided by the Lance Armstrong.

Published byCuthbert Brent Mathews Modified over 8 years ago

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Presentation on theme: "The EPEC-O Curriculum is produced by the EPEC TM Project with major funding provided by NCI, with supplemental funding provided by the Lance Armstrong."— Presentation transcript:

1 The EPEC-O Curriculum is produced by the EPEC TM Project with major funding provided by NCI, with supplemental funding provided by the Lance Armstrong Foundation. Education in Palliative and End-of-life Care - Oncology The Project EPEC-O TM

2 EPECEPECOOEPECEPECOOO EPECEPECOOEPECEPECOOO Plenary 3 Charting the Future Plenary 3 Charting the Future EPEC - Oncology Education in Palliative and End-of-life Care - Oncology

3 Overall message Palliative care can be integrated into comprehensive cancer care

4 Objectives l List the important themes from the curriculum l Identify challenges to integration l Reflect on need for personal support l List the important themes from the curriculum l Identify challenges to integration l Reflect on need for personal support

5 Video

6 EPEC-O themes l Relief of suffering is part of comprehensive cancer care l Palliative care knowledge is now extensive l Role of families l Teamwork l Oncologist as patient advocate l Relief of suffering is part of comprehensive cancer care l Palliative care knowledge is now extensive l Role of families l Teamwork l Oncologist as patient advocate

7 Relief of suffering l 4 dimensions PhysicalPsychologicalSocialSpiritual l Expected by patients, families l 4 dimensions PhysicalPsychologicalSocialSpiritual l Expected by patients, families

8 Palliative care l Not the absence of care l More powerful than ever in the history of medicine l A positive, humanistic philosophy l Technically sophisticated area of expertise l Not the absence of care l More powerful than ever in the history of medicine l A positive, humanistic philosophy l Technically sophisticated area of expertise

9 Families... l Cancer involves the whole family l Comprehensive care involves The chance to be close to family, friends Family / proxy assistance with decisions Good communication l Cancer involves the whole family l Comprehensive care involves The chance to be close to family, friends Family / proxy assistance with decisions Good communication

10 ... Families l None of this is possible without good symptom management

11 Teamwork... l The whole person has cancer, not just his / her physiology l No one person can meet all the needs l The whole person has cancer, not just his / her physiology l No one person can meet all the needs

12 ... Teamwork l Teamwork usually includes OncologistsNurses Social workers ChaplainsOthers l Palliative care can be integrated into mainstream practice l Teamwork usually includes OncologistsNurses Social workers ChaplainsOthers l Palliative care can be integrated into mainstream practice

13 Advocacy l Professional duty to patient care l Professional duty to ensure availability of services l Personal desire to be able to receive care that relieves suffering and improves quality of life l Professional duty to patient care l Professional duty to ensure availability of services l Personal desire to be able to receive care that relieves suffering and improves quality of life

14 Challenges to integration l Institutional l Regulations l Reimbursement l Attitudes l Institutional l Regulations l Reimbursement l Attitudes

15 Oncologists’ personal support needs... l Patients are asking us to do better l Find a forum for candid discussion of experiences l Transference is powerful; personal comfort is important l Patients are asking us to do better l Find a forum for candid discussion of experiences l Transference is powerful; personal comfort is important

16 ... Oncologists’ personal support needs l Professional distance, empathic closeness must balance l Know yourself l Professional distance, empathic closeness must balance l Know yourself

17 EPECEPECOOEPECEPECOOO EPECEPECOOEPECEPECOOO Summary Palliative care can be integrated into comprehensive cancer care Summary

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