SIR 2024
Practice Development
Azzam Khankan, MD, PhD, EBIR (he/him/his)
Interventional Radiologist Consultant
King Abdulaziz Medical City, Saudi Arabia
Financial relationships: Full list of relationships is listed on the CME information page.
Majed Abdulhaq, MBBS
Interventional radiologist
King Abdulaziz Medical City, Saudi Arabia
Disclosure information not submitted.
Abdulrahman Al-Ismael, None
Medical Student
Al-Baath University Faculty of Medicine, Syria
Disclosure information not submitted.
Hussein Huwaijah, None
Medical Student
University of Sharjah College of Medicine, United Arab Emirates
Disclosure information not submitted.
Alaaeldeen Mohammed, MBBS
Interventional Radiologist
King Abdulaziz Medical City, Saudi Arabia
Disclosure information not submitted.
Abdulkader Alkenawi, MBBS, RCPF
Interventional Radiologist Consultant, Head Section
King Abdulaziz Medical City, Saudi Arabia
Disclosure information not submitted.
· To provide an overview on palliative care patient evaluation and a framework for discussing the goals of care.
· To better understand the concept of futile interventions in the context of palliative care.
Background:
Interventional radiology is still expanding to play an increasing role in the multidisciplinary team providing palliative care to enhance the well-being of patients facing serious life-altering benign or malignant disease while respecting patients’ values and preferences. Although it offers contemporaneously with aggressive, potentially curative, therapeutic interventions with high technical success rate, the palliative interventional procedures are not always clinically successful when they do not improve the patient-desired outcomes especially when the trajectory of disease unfolds overtime.
According to the literature, futile medical interventions are interventions that no longer provide clear benefits for the patient, do not reach their purposes, and have the potential to be harmful. This is of particular importance if the patient’s expectations and sometimes their families are unlikely to be met by the specific intervention. Therefore, to avoid the futility of potential palliative procedures, it is essential to communication with patients and their families, understand the goal of care and the patients’ preferences taking into consideration the overall realistic outcome rather than risks and benefits of the interventions.
Clinical Findings/Procedure Details:
The poster will provide an overview on how to evaluate the palliative care patients and discuss the goals of care related to palliative interventions using a holistic framework that based on patient-centered perspective in order to make the suitable outcome-focused recommendations and avoid the futility of care.
Conclusion and/or Teaching Points:
Palliative care is more than just a euphemism for end-of-life care as it offers contemporaneously therapies within multidisciplinary setting that limit the patients suffering overtime taking into consideration the goals of care.
Potential palliative radiology interventions should be discussed using patient-centered and holistic personalized approach and recommended based on the overall outcome of each case in order to avoid futility of care.