Table 3.

Suggested strategies for more effective symptom management

Supporting patient Engagement	Simple initial screening to identify potential psychological distress which may be a barrier to engagement with symptom management
	Act to minimise psychological morbidity through low level informal support or referral for specialist care where necessary
Partnership	Discuss patient’s understanding, expectations and goals
	Empower family members with understanding of symptoms and their management
Decision-making	Agree shared plan of action with patient based upon patient preferences, treatment guidelines, and multi-disciplinary team experience
Delivery	Deliver and co-ordinate a multi-disciplinary approach based upon good understanding of other specialities and roles