When and how to stop palliative antineoplastic treatment and to organise palliative care for patients with incurable cancer

Int J Palliat Nurs. 2023 Oct 2;29(10):499-506. doi: 10.12968/ijpn.2023.29.10.499.

Abstract

Background: Improving the organisational aspects of the delivery of palliative care in order to support patients throughout their disease trajectory has received limited attention.

Aim: To investigate the opportunities and barriers related to organising palliation for people with terminal cancer and their families.

Methods: An explorative interview study was conducted among 31 nurses and three physicians concerning an intervention facilitating a fast transition from treatment at a cancer centre at a university hospital to palliation at home. A thematic analysis was conducted.

Findings: This article presents three out of seven themes: 1) improvement in the cessation of antineoplastic treatment in palliation; 2) improvement in organisations delivering palliation; and 3) improvement in multidisciplinary and cross-sectoral collaboration.

Conclusions: The results demonstrate the demand for flexible, family-centred and integrated palliation at all levels, from communication and the collaborative relationship between healthcare professionals and families to service sectors.

Keywords: collaboration; organisation; palliative care; terminal cancer.

MeSH terms

  • Antineoplastic Agents* / therapeutic use
  • Hospice and Palliative Care Nursing*
  • Humans
  • Neoplasms* / drug therapy
  • Palliative Care / methods
  • Qualitative Research

Substances

  • Antineoplastic Agents