1230 hrs (Registration & Lunch starts at 1130 hrs)
National Cancer Centre Singapore (NCCS) Level 4 Auditorium
11 Hospital Drive, Singapore 169610
Palliative care programs have become a familiar feature of the U.S. health care system, and Palliative Medicine is a newly recognized medical specialty. Studies of many terminal illnesses reveal unnecessary suffering near the end of life and the effectiveness of palliative care interventions in terms of promoting physical and emotional well-being and reducing resource utilization. Little attention has been paid to the question of when palliative care consultation is indicated, particularly when in the course of a life-threatening illness referral should be made. Many palliative care practitioners feel that they should be involved “upstream.” We will discuss the clinical implications of a landmark randomized controlled trial of early integration of palliative care in the management of non-small cell lung cancer.
In this presentation, we will review data from a multi-site U.S. study of physicians’ emotional responses to the deaths of their patients, identifying relationship and physician factors that are associated with high levels of distress for physicians, common physician coping strategies, responses of trainees at different levels to deaths, and how the informal curriculum affects trainees. Qualitative data will be presented to complement quantitative findings, and strategies for supporting physicians when patients die will be described.
Dr Susan Block
Chair, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute and Brigham and Women’s Hospital and CoDirector, HMS Center for Palliative Care, and Professor of Psychiatry and Medicine, Harvard Medical School
Notions about advance care planning (ACP) have evolved significantly in the United States since the concept was first introduced in the 1970’s. In response to current problems with end-of-life care, a variety of approaches to advance care planning have been introduced. The focus in ACP has shifted from an emphasis on procedures to a concern for eliciting patient values, goals, and preferences. We will review studies of ACP that have either succeeded or failed in meeting hopes about the process. Finally, a practical guide to earlier communication about patients’ goals will be introduced.