Citation

McCammon SD. J. Surg. Oncol. 2019; 120(1): 78-84.

Copyright

(Copyright © 2019, John Wiley and Sons)

DOI

10.1002/jso.25452

PMID

30927268

Abstract

Head and neck cancer affects vital functions of speech, swallowing, breathing, and appearance. Overall survival remains poor and symptom burden is high for both patients with incurable disease at the end of life and for long-term survivors. Early and concurrent palliative care helps guide treatment decision making and support quality of life during and after treatment. Both narrative competence and directive counsel can affect the concordance of patient goals and tolerance of treatment and outcomes.

Language: en

Keywords

Humans; Risk Factors; Emotions; Decision Making; Suicide; Quality of Life; Prognosis; Disease Progression; Palliative Care; Directive Counseling; survivorship; Head and Neck Neoplasms; decisional regret; directive counsel; narrative competence; supportive care