Palliative care of hematopoietic cell transplant recipients and families

Semin Oncol Nurs. 2014 Nov;30(4):253-61. doi: 10.1016/j.soncn.2014.08.007.

Abstract

Objectives: To provide support for the early integration of palliative care into the care of hematopoietic cell transplant (HCT) recipients and families with the goal of improving care.

Data sources: Journal articles and on-line databases.

Conclusion: Early integration of palliative care for HCT recipients at high risk for complex symptom clusters, non-relapse mortality, or relapse offers an opportunity to clarify goals of care, advanced care planning, and improving the quality of care for both recipients and families.

Implications for nursing practice: The palliative care service can support the HCT nurse in providing complex care to HCT recipients who are faced with significant side effects, toxicities, and complications of transplant.

Keywords: Hematopoietic cell transplantation; advanced care planning; goals of care; palliative care.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Hematologic Neoplasms / nursing
  • Hematologic Neoplasms / pathology
  • Hematologic Neoplasms / surgery*
  • Hematopoietic Stem Cell Transplantation / adverse effects
  • Hematopoietic Stem Cell Transplantation / methods*
  • Humans
  • Intensive Care Units
  • Male
  • Middle Aged
  • Nurse's Role
  • Oncology Nursing / organization & administration*
  • Palliative Care / organization & administration*
  • Professional-Family Relations
  • Risk Assessment
  • Severity of Illness Index
  • Survival Analysis
  • Transplant Recipients / psychology
  • Transplant Recipients / statistics & numerical data*
  • Transplantation Conditioning / methods
  • Transplantation Conditioning / nursing
  • Treatment Outcome