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• W2150420103 abstract "1.Become familiar with the evolving field of palliative surgery, including surgical disciplines' efforts to incorporate palliative and supportive care into clinical practice and research.2.Understand, as demonstrated by three complex cases, how palliative surgery might provide a quality of life benefit that is acceptable to both the palliative care and surgery teams and the patient/caregivers.3.Identify useful and effective ways for palliative care professionals to communicate and interact with surgery colleagues to collaborate on improving quality of life in patients with serious illness. Patients with serious or advanced illness often suffer from complex symptom issues where surgical interventions may relieve distress and improve quality of life. Palliative care specialists often rely upon non-interventional, pharmacologic-centric approaches for management. This may be because of professional backgrounds in non-surgical specialties, lack of familiarity with surgical management approaches, and potentially a sense of misalignment between the goals of the surgical team and the palliative medicine specialists. But are there missed opportunities to further increase quality of life through palliative surgery? Can surgical interventions be incorporated within a palliative care philosophy to improve the symptoms without causing increased complications, hospitalizations, or other outcomes thought inconsistent with the goals of palliative medicine? As a multidisciplinary and multi-institutional panel of surgeons, oncologists, and palliative medicine physicians, we aim to discuss how palliative surgery can be best incorporated into complex symptom management. Using a case-based approach integrated with audience discussion, we will highlight both typical and novel surgical interventions that may not be familiar to our discipline to relieve symptom distress. These cases will come from our own experiences, including management of complex malignant bowel obstruction, intractable ascites and pleural effusions, and biliary obstruction. Finally, we will explore the complex dynamics between surgical specialties and palliative medicine, especially how to reconcile attitudes and feelings that our goals are different when they are truly not. It is hoped that this discussion will help participants to formulate an action plan to create stronger relationships with surgery colleagues, and ultimately deliver better collaborative care, at their own institutions." @default.
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• W2150420103 date "2014-02-01" @default.
• W2150420103 modified "2023-10-03" @default.
• W2150420103 title "The Palliative Medicine-Surgery Interface—“How To Effectively Work with Your Surgery Colleagues on Complex Cases” (FR409)" @default.
• W2150420103 doi "https://doi.org/10.1016/j.jpainsymman.2013.12.081" @default.
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