A review on determinants and barriers affecting the transition from curative care to palliative care in patients suffering from terminal cancer

Karan Sharma; Roja Prasanthi Prathipati; Aniket Agrawal; Kavita Shah

doi:10.18203/2320-6012.ijrms20231667

Authors

Karan Sharma Poonam Multispeciality Hospital, Ahmedabad, Gujarat, India
Roja Prasanthi Prathipati Case Western Reserve University, Cleveland, Ohio
Aniket Agrawal Jaslok Hospital and Research Center, Mumbai, Maharashtra, India
Kavita Shah Gautam buddha international hospital, Koteshwor, Kathmandu, Nepal

DOI:

https://doi.org/10.18203/2320-6012.ijrms20231667

Keywords:

Palliative care, Curative care, Cancer

Abstract

The integration of palliative care into comprehensive cancer care has become increasingly recognized as an essential aspect of cancer treatment. Palliative care can improve patient outcomes, symptom management, and overall satisfaction with care. However, despite the benefits of palliative care, several barriers exist that prevent its widespread implementation, including lack of awareness and understanding of palliative care, lack of access to palliative care services, and stigma associated with palliative care. The decision to transition from curative to palliative care is complex and influenced by several factors, including patient preferences, disease stage, and prognosis, symptom burden, comorbidities, and social support. Effective communication between healthcare providers, patients, and families is essential in ensuring that patients are informed about their options and can make informed decisions about their care. This literature review aims to explore the factors that influence the decision to transition to palliative care and to identify the barriers to the implementation of palliative care in cancer patients. The review also discusses strategies to overcome these barriers and highlights the importance of integrating palliative care into cancer care from the time of cancer diagnosis.

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