Title

Palliative Care in the Global Setting

Authoring Organization

American Society of Clinical Oncology

Publication Month/Year

May 8, 2018

Last Updated Month/Year

October 2, 2024

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

Provide expert guidance to clinicians and policymakers on implementing palliative care in resource-constrained settings and is intended to complement the Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update of 2016.

Target Patient Population

Patients with cancer, both adults and children, and their family caregivers

Target Provider Population

Clinicians, palliative care, health planners, policymakers, hospices, health care institutions, community health workers, spiritual care providers

PICO Questions

  1. In each setting, what are the most practical models of delivery of palliative care to patients with cancer and their caregivers?

  2. Who should provide palliative care in the absence of specialized palliative care physicians, and what is the minimum training necessary to meet the palliative care needs of the community (whether by an oncologist or other clinicians/providers)?

  3. What is the most effective model of palliative care delivery?

  4. When is the best time to involve a palliative care team in cancer care?

  5. What is the role of the nurse in palliative care assessment, pain and symptom control, and drug prescriptions (opioid prescriptions)?

  6. At what level of health care (health centers, dispensary, hospitals) should oral opioids be available?

  7. What is the place of spiritual care in palliative care?

  8. What are the roles of social workers/counselors in palliative care?

Inclusion Criteria

Male, Female, Adolescent, Adult, Child, Older adult

Health Care Settings

Home health, Hospice, Hospital

Intended Users

Counselor, healthcare business administration, medical assistant, nurse, nurse practitioner, physician, physician assistant, psychologist, social worker

Scope

Management

Diseases/Conditions (MeSH)

D010166 - Palliative Care, D064946 - Hospice and Palliative Care Nursing, D065126 - Palliative Medicine

Keywords

cancer, palliative care

Source Citation

DOI: 10.1200/JGO.18.00026 Journal of Global Oncology - published online May 8, 2018

Supplemental Methodology Resources

Data Supplement, Methodology Supplement