PALLIATIVE CARE - INTEGRATION MODEL INTO ONCOLOGICAL ASSISTANCE FOR THE PATIENTS OF REGIONAL INSTITUTE OF ONCOLOGY IASI

Authors

  • V. POROCH University of Medicine and Pharmacy “Grigore T. Popa”- Iasi
  • Mihaela BOANCA University of Medicine and Pharmacy “Grigore T. Popa”- Iasi

Keywords:

PALLIATIVE CARE, CANCER, INTEGRATION, ONCOLOGY

Abstract

Aim: This paper aims to present a retrospective analysis of activity from Palliative Care Compartment of Regional Institute of Oncology Iasi during 12 months of activity and to propose a model of integration of the palliative care in oncology. Materials and methods: Data were collected from 415 patients hospitalized to the Palliative Care Compartment using the computerized database, records and books of existing appointments. Results: Data analysis reveals that 170 cases (40%) were aged higher or equal to 70 years and a number of 142 patients (34%) were aged between 60-69 years. Results regarding the provenience of the patients shows that most of them are from urban areas. Gastrointestinal neoplasms were present at about one-third of the patients – 133 cases (32%) and 95 (71%) of these cases had metastases. Most patients - 114 cases (27%) required hospitalization for a period between 8 and 14 days. Palliative care has interdisciplinary relations with other specialties. In 2013 from other specialties were transferred to palliative care a number of 156 patients, most of them (87 cases) from Oncology Department. Conclusions: Integrating palliative care in oncology would increase the quality of life of patients, would relieve the other sections or hospitals by patients who need palliative care, would decrease hospitalization costs and would avoid performing aggressive maneuvers at the end of life.

Author Biographies

  • V. POROCH, University of Medicine and Pharmacy “Grigore T. Popa”- Iasi

    Faculty of Medicine
    Department of Surgery                                                                                                                                              Regional Institute of Oncology Iasi                                                                                                                                Palliative Care Compartment

     

  • Mihaela BOANCA, University of Medicine and Pharmacy “Grigore T. Popa”- Iasi

    Faculty of Medicine
    Ph.D. student

References

1. Claessen SJ et al. A new set of quality indicators for palliative care: process and results of the devel-opment trajectory. J Pain Symptom Manage, 2011; 42(2): 169-182.
2. Dumitrescu L, van den Heuvel WJ, van den Heuvel-Olaroiu M. Experiences, knowledge, and opinions on palliative care among Romanian general practitioners. Croat Med J, 2006;47(1):142-147.
3. Ersek M, Smith D, Cannuscio C, et al. A nationwide study comparing end-of-life care for men and women veterans. J Palliat Med, 2013; 16(7): 734-740.
4. Mosoiu D, Ryan KM, Joranson DE, Garthwaite JP. Reform of drug control policy for palliative care in Romania. Lancet, 2006; 367(9528): 2110-2117.
5. Raijmakers N et al, OPCARE9. Quality indicators for care of cancer patients in their last days of life: literature update and experts' evaluation. J Palliat Med, 2012; 15(3): 308-316.
6. World Health Organization. National cancer control programmes (policies and managerial guide-lines). 2nd ed. Geneva: World Health Organization; 2002.
7. White Paper on standards and norms for hospice and palliative care in Europe. Eur J Palliat Care, 2010; 17(1): 22-32.

Additional Files

Published

2018-05-16

Issue

Section

PREVENTIVE MEDICINE - LABORATORY