Palliative care services should have higher priority, says NICE
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《英国医生杂志》
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Supportive care and information services for people with cancer and their families should be developed by health planners with the same priority and detail as diagnostic and treatment services, say new guidelines for England and Wales.
Patients with cancer should have access to a range of services from the moment their cancer is diagnosed to help them cope with their illness and its treatment, say recommendations from the National Institute for Clinical Excellence (NICE). They should receive important news from senior staff who have been trained in effective communication, and they should have access to a key worker, if appropriate, to act as a guide to the services offered by each cancer network.
As well as high quality written information about cancer and treatments, patients should be assessed at critical stages through their illness and have access to counselling services to help deal with any anxieties.
Commissioners and providers of NHS cancer services in England and Wales should also ensure that patients with advanced cancer have access to medical and nursing services 24 hours a day, seven days a week, and that GPs and nurses who care for patients in their home have access to specialist advice at all times.
A survey of cancer patients published in 2002 showed that, although many people are satisfied with their care, many more say they did not receive the information or support they needed. Over 230 000 people in England and Wales are diagnosed with cancer each year, and a quarter of all deaths are due to cancer.
Alison Richardson, professor of cancer and palliative nursing care and leader of the guidance development team, said: "Anyone who has experienced cancer understands the importance of supportive and palliative care provided by a very wide range of health and social care professionals. The evidence shows that in addition to receiving the best treatments for their cancer, patients want to be treated as individuals, with dignity and respect, and to have their voices heard in decisions about treatment and care."(Zosia Kmietowicz)
Supportive care and information services for people with cancer and their families should be developed by health planners with the same priority and detail as diagnostic and treatment services, say new guidelines for England and Wales.
Patients with cancer should have access to a range of services from the moment their cancer is diagnosed to help them cope with their illness and its treatment, say recommendations from the National Institute for Clinical Excellence (NICE). They should receive important news from senior staff who have been trained in effective communication, and they should have access to a key worker, if appropriate, to act as a guide to the services offered by each cancer network.
As well as high quality written information about cancer and treatments, patients should be assessed at critical stages through their illness and have access to counselling services to help deal with any anxieties.
Commissioners and providers of NHS cancer services in England and Wales should also ensure that patients with advanced cancer have access to medical and nursing services 24 hours a day, seven days a week, and that GPs and nurses who care for patients in their home have access to specialist advice at all times.
A survey of cancer patients published in 2002 showed that, although many people are satisfied with their care, many more say they did not receive the information or support they needed. Over 230 000 people in England and Wales are diagnosed with cancer each year, and a quarter of all deaths are due to cancer.
Alison Richardson, professor of cancer and palliative nursing care and leader of the guidance development team, said: "Anyone who has experienced cancer understands the importance of supportive and palliative care provided by a very wide range of health and social care professionals. The evidence shows that in addition to receiving the best treatments for their cancer, patients want to be treated as individuals, with dignity and respect, and to have their voices heard in decisions about treatment and care."(Zosia Kmietowicz)