Dr Animesh Saha

Palliative Therapy

Palliative care is interdisciplinary specialized medical and nursing care with a focus on providing relief from the symptoms, including pain, and physical and mental stress at any stage of cancer. Quality of life is a priority, for both the person and their family. Evidence supports the efficacy of a palliative care approach in improvement of a cancer patient’s quality of life. Palliative care is provided by a team of physiciansnurses, physiotherapists, occupational therapists, speech-language pathologists and other health professionals who work together with the primary care physicianspecialists and other hospital or hospice staff. Palliative care is appropriate at any age and at any stage in cancer and can be provided as the main goal of care or along with curative treatment. Although it is an important part of end-of-life care, it is not limited to that stage. Palliative care can be provided across multiple settings including in hospitals, at home, as part of community palliative care programs, and in skilled nursing facilities. Interdisciplinary palliative care teams work with people and their families to clarify goals of care and provide symptom management, psycho-social, and spiritual support. Physicians sometimes use the term palliative care in a sense meaning palliative therapies without curative intent, when no cure can be expected (as often happens in late-stage cancers). For example, tumor debulking can continue to reduce pain from mass effect even when it is no longer curative. Medications and treatments are said to have a palliative effect if they relieve symptoms without having a curative effect on the underlying cancer. This can include treating nausea related to chemotherapy or something as simple as morphine to treat the pain from cancer or using Radiotherapy to stop bleeding from cancer.