PC psychiatrists often provide informal integrated clinical care and expert education by bringing their expertise to PC practice settings. Psychiatrists training in and practicing as PC clinicians have played a significant role in advancing psychiatric knowledge and skills within PC. Unfortunately, even as enthusiasm increases, data on developing this training pathway to PC psychiatry is limited.<\/p>\n
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Our study revealed that no psychological scales were utilized in approximately 20% of the analyzed articles. For example, a pain crisis or severe dyspnea may rightfully catch the eye of a provider as a more urgent issue than a patient\u2019s depressed mood. Without specifying what particular type of psychosocial support is being provided, clinicians and researchers are unable to meaningfully translate the results into practice.<\/p>\n
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Finally, providing resources to patients to navigate an increasingly complex health system is valuable, such as transportation to radiation treatments or a volunteer to accompany patients during long chemotherapy sessions. Considering these 2 cases together, there were several specific tools and approaches that were used that facilitated the delivery of equitable and comprehensive palliative care in patients with SPMI. The second issue, which arose from the second case, was palliative care providers\u2019 comfort and experience in managing patients with SPMI. These cases illustrate the considerable barriers faced by patients with SPMI in accessing comprehensive palliative care.<\/p>\n
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