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SUMMARY:The case for palliative care in surgery - the right treatment for 
 the right patient at the right time… - Dr Charlotte Chamberlain (Univers
 ity of Bristol)\, Professor Bee Wee (NHS England)
DTSTART;VALUE=DATE-TIME:20201103T130000Z
DTEND;VALUE=DATE-TIME:20201103T140000Z
UID:https://talks.ox.ac.uk/talks/id/c56c2235-80a1-4b4e-a0cf-766bbb2dae40/
DESCRIPTION:This talk describes a journey investigating supportive and pal
 liative care as a potential tailored intervention for patients referred fo
 r major surgery. It considers findings from a workshop addressing palliati
 ve surgery and palliative care in surgery with patients and professionals\
 , proposes a pilot study of perioperative supportive care and introduces s
 ome of the key unpublished findings from the Lancet Value of Death Commiss
 ion which considers rebalancing our approach to death- and in so doing aim
 s to realign over- and undertreatment in healthcare. \nNearly one-third of
  Medicare beneficiaries have an operation during their last year of life. 
 Patients undergoing surgery are older and more multi-morbid than in the pa
 st. Framing decision making for major surgery needs to encompass the compl
 exity of potential longevity gains\, with patient goals for life and quali
 ty of life. Surgical shared decision making has been positively embraced b
 y patients and surgeons as an opportunity to improve patient knowledge of 
 the risks and benefits of a procedure and provide greater comfort in decis
 ion making. The use of the multidisciplinary team within an integrated pat
 hway perioperatively has also shown improved patient satisfaction\, reduce
 d pain\, anxiety and fatigue and reductions in length of stay and overall 
 healthcare utilisation and even potential survival gains. A quality improv
 ement program in the US found the use of risk assessments pre-operatively 
 combined with palliative care consultations improved patient survival. Str
 iking the balance between surgery\, which enhances length and/or quality o
 f life and potentially non-beneficial treatment at the end of life is not 
 always clear. Optimising perioperative supportive care for patients underg
 oing major surgery with elements of shared decision making\, integrated ca
 re\, risk assessments and supportive and palliative care perioperatively h
 olds a number of uncertainties. What kind of perioperative intervention\, 
 how and who best to deliver it needs to be established.\n\nSpeakers:\nDr C
 harlotte Chamberlain (University of Bristol)\, Professor Bee Wee (NHS Engl
 and)
LOCATION:This talk will be hosted online
TZID:Europe/London
URL:https://talks.ox.ac.uk/talks/id/c56c2235-80a1-4b4e-a0cf-766bbb2dae40/
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DESCRIPTION:Talk:The case for palliative care in surgery - the right treat
 ment for the right patient at the right time… - Dr Charlotte Chamberlain
  (University of Bristol)\, Professor Bee Wee (NHS England)
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