{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T11:50:02Z","timestamp":1772884202673,"version":"3.50.1"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525101211_sec1a\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Acute Palliative and Supportive Care Units (APSCUs) provide unique and tailored care to patients with advanced chronic illness. In an APSCU, patients receive intensive palliative care while remaining in an acute care hospital setting. This allows for physical and psychological suffering to be aggressively treated by a dedicated interdisciplinary team. In the case of our patient, the APSCU changed the trajectory of his expected outcome of in-hospital death to a successful discharge home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101211_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We report the case of a patient with advanced colon cancer who suffered cardiac arrest in the emergency department and was expected to die soon after transition to comfort-oriented care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101211_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After terminal extubation, our patient continued to have agitated delirium and was transferred to our APSCU for aggressive symptom control. He stabilized and progressively became more responsive, prompting a change in his plan of care with a goal of discharge home with hospice. The APSCU\u2019s interdisciplinary team was able to adapt to the patient\u2019s unexpected clinical improvement and provide him and his family with the medical, psychosocial, and spiritual expertise to prepare him for a successful discharge home, where he ultimately died 6\u00a0weeks later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101211_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>The case report demonstrates that an APSCU, with its skilled interdisciplinary team in the acute care hospital, is an ideal setting to provide patient-centered care for seriously ill patients and their families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525101211","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T06:39:47Z","timestamp":1768891187000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Acute palliative and supportive care units provide unique and tailored care: A case report"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0854-7105","authenticated-orcid":false,"given":"Shaylee","family":"Dave","sequence":"first","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3059-3083","authenticated-orcid":false,"given":"Kayley M.","family":"Ancy","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahsan","family":"Azhar","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Bruera","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"S1478951525101211_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.87"},{"key":"S1478951525101211_ref4","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2009.0166"},{"key":"S1478951525101211_ref5","first-page":"356","article-title":"Improving patient and caregiver outcomes in oncology: team-based, timely, and targeted palliative care","volume":"68","author":"Hui","year":"2018","journal-title":"CA: A Cancer Journal for Clinicians"},{"key":"S1478951525101211_ref7","doi-asserted-by":"publisher","DOI":"10.1200\/OP.22.00163"},{"key":"S1478951525101211_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62416-2"},{"key":"S1478951525101211_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.62"},{"key":"S1478951525101211_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001565"},{"key":"S1478951525101211_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951513000722"},{"key":"S1478951525101211_ref9","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2024.0001"},{"key":"S1478951525101211_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000384"},{"key":"S1478951525101211_ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-022-01044-1"},{"key":"S1478951525101211_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2024.10.010"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525101211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T06:39:48Z","timestamp":1768891188000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525101211\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":12,"alternative-id":["S1478951525101211"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525101211","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e38"}}