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Supportive palliative care and pain control also play an important role in patient management.
This avoided futile attempts at prolonged dialysis support and allowed appropriate implementation of supportive palliative care.
For patients who decline treatment or are unfit for systemic treatment, best supportive, palliative care should be implemented.
This is similar to the findings of a recent systematic review of best supportive palliative care studies [ 72].
In addition, this project aims at publicly raising awareness for the need of supportive palliative care, aimed at accompanying patients throughout their care and reducing unnecessary suffering.
Promoting the concept of palliative care may contribute to overcoming the curative paradigm in medicine in situations where it is more appropriate to accept the process of dying and to offer best supportive palliative care.
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Careful assessment of possible supportive and palliative care needs should be triggered at key disease milestones along a lifetime journey with COPD, in particular after hospital admission for an exacerbation.
The field of medicine is recognizing the importance of patient-centered care and quality of life, thoughtfully considering patients' values and goals so that care can be effectively tailored to support those goals, which may include the delivery of supportive or palliative care, when necessary.
The Global Core Curriculum for Medical Oncology (ASCO/ESMO) includes supportive and palliative care items and the Quality Cancer Care statement of ASCO and ESMO includes pain management, supportive and palliative care [ 59].
In 2004, the National Institute for Clinical Excellence NICEE) identified social support as one of the main topic areas for improving supportive and palliative care for adults with cancer.
These therapies are widely used for supportive and palliative care of patients with cancer5.
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