No.	Recommendations/Statements	GoR	LoE	Sources
5.12. reviewed 2021	Consensus-based recommendation The following points can be mentioned as forming the content of a discussion in the palliative situation: Aims of palliative medical therapy (alleviating suffering, treatment of pain – foremost goal: the patientʼs quality of life) Patientʼs anxieties and fears, with inclusion of her partner and relatives Radio(chemo)therapy – duration and intended effect Palliative drug treatment Palliative surgical treatment Individual treatment decisions, depending on the patientʼs personal life plans If the effectiveness of a treatment is limited, the result of the decision-making process may be to deliberately refrain from palliative tumor treatment Mention of different aspects of palliative care (rehabilitation, psychosocial medicine, psycho-oncology) Side effects and interactions of drugs and complementary medicine Involvement of local hospice group if appropriate Consultation with physicians and nursing services specializing in palliative medicine Problem situations arising during the course of disease: Pain Ureteral stenosis leading to renal failure Fistulas Fetid discharge Bleeding Paralytic or mechanical ileus Thrombosis, pulmonary embolism Symptomatic and supportive therapy: Treatment for lymphedema in the lower extremities Pain therapy Dysuria/bladder spasm Psychosocial and religious/spiritual assistance for the patient and her relatives Resources for assistance	EC