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SUPPORTIVE CARE — SYMPTOM & QUALITY-OF-LIFE MANAGEMENT

Palliative & supportive care

Specialized care focused on relieving symptoms, side effects and stress at any stage of cancer — given alongside cancer treatment, not instead of it, and shown to improve quality of life.
Treatments & procedures › Palliative & supportive care

What it is

Palliative care is specialized medical care for people living with a serious illness, aimed at improving quality of life for both patient and family. It treats pain, nausea, breathlessness, fatigue, appetite loss, anxiety, depression and other symptoms; helps with goals-of-care conversations and decision-making; and coordinates support across the care team. Crucially, it is appropriate at any stage and can be delivered at the same time as curative or life-prolonging cancer treatment — it is not the same as hospice, which is care focused on comfort in the last months of life when disease-directed treatment has stopped. Studies show early palliative care improves symptoms and quality of life, and in some settings is associated with better outcomes.

Why it's done

  • Managing pain and other symptoms during any phase of cancer treatment
  • Reducing treatment side effects (nausea, fatigue, appetite loss, mood)
  • Support with complex decisions, goals of care and advance-care planning
  • Family and caregiver support and care coordination

How it works

Delivered by a team that can include palliative-medicine physicians, nurses, social workers, chaplains and others, in the clinic, hospital or at home. It works alongside the oncology team. Referral can (and ideally does) happen early, not only near the end of life.

What to expect

The focus is comfort, function and quality of life. As illness changes, the plan is adjusted; if a time comes when disease-directed treatment is no longer helping, palliative care can transition to include hospice services.

Considerations

  • Sometimes mistaken for “giving up” — it is not; it is given alongside treatment
  • Access and availability of specialist palliative teams can vary
  • Best started early rather than only in a crisis
  • Distinct from hospice, though the two are related

Alternatives

Hospice care
Comfort-focused care in advanced illness when treatment stops
Oncology symptom management
Symptom care provided by the treating oncology team
Integrative & supportive therapies
Acupuncture, massage, mind-body approaches for symptoms
Rehabilitation & pain services
Physical therapy, pain specialists