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Concurrent palliative care in the surgical management of head and neck cancer
Author(s) -
McCammon Susan D.
Publication year - 2019
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.25452
Subject(s) - medicine , swallowing , palliative care , head and neck cancer , quality of life (healthcare) , competence (human resources) , head and neck , concordance , intensive care medicine , affect (linguistics) , disease , cancer , nursing , surgery , psychology , social psychology , linguistics , philosophy
Abstract Head and neck cancer affects vital functions of speech, swallowing, breathing, and appearance. Overall survival remains poor and symptom burden is high for both patients with incurable disease at the end of life and for long‐term survivors. Early and concurrent palliative care helps guide treatment decision making and support quality of life during and after treatment. Both narrative competence and directive counsel can affect the concordance of patient goals and tolerance of treatment and outcomes.