Palliative Care and Advance Care Planning

Clinicians suggested treatment preferences around PCN and RUS should be discussed before emergency presentation. Earlier planning would let patients consider whether they would accept decompression and what quality of life means to them before acute distress. Palliative care clinicians said conversations about the absence of curative options are difficult and may be avoided or handled poorly. Communication about end of life and treatment options should involve all MUUTO clinicians, not only palliative care specialists. MUUTO could be raised during advanced cancer diagnosis or disease progression conversations because kidney obstruction is common in some advanced cancers.