Palliative care is a special type of medical care that focuses on treatment of symptoms people may have when they are living with a chronic (long-standing) illness, such as cancer or heart failure. It is often compared to the hospice care that is offered to terminally ill people.

In palliative care, the goal is to provide the best quality of life possible -- even before someone becomes terminally ill. Palliative care can be used when a person is getting treatment for a disease as well as when there is no useful treatment for the disease.

Features of Palliative Care

Palliative care deals with the treatment of problems including pain, nausea, loss of appetite, depression, and fatigue. All symptoms are addressed, including physical, emotional, and spiritual problems.

Another key feature of palliative care is its focus on not only the patient but the family as well. Chronic illness puts special stress on families, and having support can be very helpful. Talking about and planning for the future can help prepare a person and the person's family to make the best choices for everyone involved.

What Is the Difference Between Palliative Care and Hospice?

Hospice care is a special form of palliative care offered to those with chronic illness who may have less than six months to live. The focus is on caring for the patient and his or her symptoms, not curing the disease. All doctors can admit a patient directly to Hospice.

What Are the Benefits of Palliative Care?

High-quality palliative care can make the difference between a comfortable existence and one that involves much suffering. Palliative care also can help a patient's loved ones begin to deal with the issues of grief and bereavement.

Where Is Palliative Care Provided?

Palliative care is being offered in more and more hospitals throughout the country. It may also be available in outpatient clinic or home settings. To find doctors certified in Palliative Medicine, go to the Web site for the American Board of Hospice and Palliative Medicine at www.abhpm.org.

Reviewed by the doctors at The Cleveland Clinic Center Taussig Cancer Center.

WebMD Medical Reference provided in collaboration with the Cleveland Clinic

Edited by Ephraim K Brenman, DO on March 01, 2007

'Portions of this page © The Cleveland Clinic 2000-2005

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TOPAMAX is approved for migraine prevention in adults only.
TOPAMAX is not used to stop a migraine after it starts.

IMPORTANT SAFETY INFORMATION

Serious risks associated with TOPAMAX include lowered bicarbonate levels in the blood resulting in an increase in the acidity of the blood (metabolic acidosis). Symptoms could include hyperventilation (rapid, deep breathing), tiredness, loss of appetite, irregular heartbeat or changes in the level of alertness. Call your doctor immediately if you get these symptoms. Your doctor may want to do simple blood tests. Chronic, untreated metabolic acidosis may increase the risk for kidney stones or bone disease.

Other serious risks include decreased sweating, increased body temperature, kidney stones, sleepiness, dizziness, confusion, difficulty concentrating, and increased eye pressure (glaucoma). Call your doctor immediately if you have any decrease in vision or eye pain. These problems can lead to blindness if not treated right away.

More common side effects are tingling in arms and legs, loss of appetite, tiredness, nausea, diarrhea, taste change and weight loss.

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