Reframing Palliative Care: An East-West Integrative Palliative Care Model

S. Anjani D. Mattai; Ka-Kit P. Hui

doi:10.1007/s11655-021-3500-9

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Reframing Palliative Care: An East-West Integrative Palliative Care Model

Perspective | Updated：2021-10-18

- Reframing Palliative Care: An East-West Integrative Palliative Care Model
- Chinese Journal of Integrative Medicine Vol. 27, Issue 10, Pages: 723-728(2021)
- Affiliations：
  
  1.Department of Medicine, David Geffen School of Medicine,University of California Los Angeles, California, USA
  2.Center for East-West Medicine, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles,California, USA
- Author bio：
  
  Dr. Ka-Kit P. Hui, E-mail: khui@mednet.ucla.edu
- Funds：
- DOI：10.1007/s11655-021-3500-9
  CLC：
- Published：01 October 2021，
  
  Accepted：6 August 2021
Scan for full text
S. Anjani D. Mattai, Ka-Kit P. Hui. Reframing Palliative Care: An East-West Integrative Palliative Care Model. [J]. Chinese Journal of Integrative Medicine 27(10):723-728(2021)
DOI：

S. Anjani D. Mattai, Ka-Kit P. Hui. Reframing Palliative Care: An East-West Integrative Palliative Care Model. [J]. Chinese Journal of Integrative Medicine 27(10):723-728(2021) DOI： 10.1007/s11655-021-3500-9.

摘要

Abstract

Convergence of principles of palliative care and integrative medicine has led to the introduction of the new practice of integrative palliative care in which integrative therapies (including mind-body modalities

traditional Chinese medicine

Ayurveda

and dietary supplements) are used to provide symptom management for patients who are dying or experiencing the sequelae of serious illness and its treatment. We propose an East-West Integrative palliative care model using non-drug therapies

such as acupuncture

diet

exercise

and stress management that shift the paradigm from suppressing the symptoms of illness to addressing both the root cause of the symptoms and the imbalance and declining homeostatic reserve that perpetuate these symptoms. This whole-person model expands the reach of palliative care

prolonging a better quality of life and allowing the patient to maintain as many activities as possible by preventing symptoms and improving function. Through this approach we reframe the dialogue such that patients are "living better" rather than "dying better" when faced with serious illness or death. In this article

we provide an overview of the principles of palliative care

integrative medicine

and the novel area of integrative palliative care

and propose an East-West integrative palliative care model that incorporates and broadens the scope of these existing approaches.

关键词

Keywords

person-centered modelpalliative careintegrative medicinetraditional Chinese medicineacupuncturesymptom managementcost-effectivenessreframing healthcare

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