core elements of palliative care program
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Notes
- population
- all ages with debilitating, chronic or life-threatening condition
- care
- timing
- begins at diagnonsis
- continues throught cure or death
- extends into bereavement for family
- focus
- patient & family (define by patient)
- addresses unique needs
- goals
- prevention & alleviation of physical, psychologic, social & spiritual distress
- relieve suffering, including pain & other symptoms
- timing
- healthcare professionals
- team
- interdisciplinary team skilled in care of population to be served
- may include volunteers
- expertise/skills
- effective communication
- skills in care of the dying & bereavement
- skill in complex medical evaluation
- expertise in pain management
- ability to address difficult decisions regarding goals of care
- avoid/minimize burnout & compassion fatigue[2]
- team
- healthcare delivery
- setting
- continuity of care, including hospitals, nursing home
- access
- equitable across all patient populations, diagnoses, geographic areas, race, ethnicity, ability to pay
- quality
- commitment to excellence & high-quality care
- setting
Additional terms
References
- ↑ National Consensus Project for Qualititative Palliative Care Consortium Organizations. Clinical Practice Guidelines for Quality Palliative Care. Pittsburg, PA, National Consensus Project, YEAR.
- ↑ 2.0 2.1 Kearney MK et al, Self-care of Physicians Caring for Patients at the End of Life JAMA 2009 301:1155 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/19293416 <Internet> http://jama.ama-assn.org/cgi/content/short/301/11/1155