Components of preventative care
Key aspects
Example 1
Symptom Prevention
Example 2
Advance Care
Insight into Illness
- Natural history
- Prognostication
Stage IV pancreatic cancer = symptoms
Stage IV lung cancer = short prognosis
Foresight for individual
- Anticipate concerns
- Risk factors
Mild pain can now get worse
Patient will deteriorate
Interventions available
- Risk reduction
- Evidence-based
Opioids can be useful
Serious illness conversations
Introduce intervention
- Timely initiation
- Longitudinal follow-up
Start scheduled opioids
Educate and monitor
Prognostic discussions
Advance care planning
Crisis prevention
- Improved outcomes
- Preparations in place
Stage IV pancreatic cancer = symptoms
Better quality of end-of-life
Avoid intensive care unit visit