| The development
of palliative medicine as a specialty discipline has contributed
to the evolution of cancer medicine by emphasizing the quality of
life dimension of cancer care, providing a model of clinical
practice, systemizing a diffuse knowledge base, and creating a new
body of accessible medical literature. Although born of hospice
movement, palliative medicine has evolved to increasingly
incorporate the care issues of patients with early stage cancer
and AIDS and other chronic organic diseases, such as motor-neuron
disease and cardiac, respiratory, or renal failure thus
recognizing that suffering is not exclusive to dying cancer
patients The scientific and clinical
knowledge base of palliative medicine is eclectic. It is
characterized by an interdisciplinary synthesis of knowledge ands
skill. Recent advances in the management of cancer pain have been
contributed by oncologists, neurologists, radiotherapists, nuclear
medicine physicians, psychiatrists, psychologists, surgeons,
nurses, anaesthesiologists, neurosurgeons, and palliative care
physicians. Similarly, interdisciplinary synthesis is observed in
the contemporary literature on the management of physical symptoms
including dyspnoea, cough, fatigue, anorexia, nausea and vomiting
and gastrointestinal or genitourinary luminal obstruction.
For the medical oncologist, an enhanced
familiarity with palliative medicine can extend the clinician's
therapeutic repertoire. These additional skills would reduce the
stress of caring for patients who have incurable cancer, improve
patient outcome, and provide new avenues for clinical research and
reward. Palliative medicine is clinically and intellectually
challenging. It is an interface among the disciplines of oncology,
psychiatry, clinical ethics, and clinical pharmacology. It
encourages and necessitates interdisciplinary practice. It has
been suggested that increased knowledge and participation in
palliative medicine may reduce the risk of burnout among medical
oncologist.
If you have questions related to this article you may e-mail me
at doctor@soontongkiong.com quoting the contents of the article.
About the author
DR SOON is a medical practitioner. He holds four degrees. MBBS
(University of Malaya), MBA (University of East Asia), LLB (Hons)
(University of Wolverhampton), Master of Medicine (Edith Cowan
University
:
Dr SOON is the owner of AskMyVisitor.com and MyScriptDoctor.com
where you can find the most up-to-date advice and information
on
many medical, health and lifestyle topics.
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