ABSTRACT
As hematopoietic stem-cell transplantation (HSCT) continues to evolve, we will be increasingly challenged to balance potentially lifesaving treatments with patient-centered care emphasizing quality of life. Ideally, the HSCT team simultaneously integrates specialized palliative care services into the HSCT process at the day of diagnosis. Palliative care should be introduced and described to patients and caregivers as evidence based, state-of-the-art, whole-person care. Misconceptions about palliative care and limited resources often inhibit its full integration. True assimilation requires mutual respect between the palliative care consult team and HSCT team, which begins with a sound understanding of the HSCT process, recognition of the HSCT team's needs, daily presence on rounds, and concise recommendations. Clear communication regarding symptom management recommendations is essential, including physical, psychological, spiritual, and social domains. Most importantly, the palliative care team must cultivate and attend to its relationship with the treating HSCT team, to build bridges while caring for the individual patient and caregivers.
