If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Much attention has been focused on the importance of making end-of-life EOL care decisions before one is in a crisis situation. Some older adults, however, are ambivalent about what they want at the end of life and may change their minds about treatment options when actually threatened by an illness that can cause death.
Palliative Care Essentials - International Association for Hospice & Palliative Care
An option that allows for realistic EOL supportive care without rescinding all efforts at treatment is palliative care. Palliative care is focused on symptom management and relieving suffering and improving quality of life of individuals rather than focusing on cure and lengthening of life. Avoidance of unnecessary, and potentially harmful, tests is initiated, and care is focused on comfort.
Palliative care is a philosophy of care that is provided simultaneously with all other appropriate medical management of the patient. Hospice differs from palliative care. Hospice is a comprehensive care system for patients with limited life expectancy who are living at home or in institutional settings.
Hospice is a Medicare benefit that was established in To be eligible for hospice the patient must have Part A of Medicare and two clinicians must determine that the patient has 6 months or less to live if the disease runs its normal course. The clinician must include a brief narrative explanation of the clinical findings that supports a life expectancy of 6 months or less as part of the certification and recertification forms, or as an addendum to the certification and recertification forms.
Palliative Care Essentials
A face-to-face encounter is required for patients entering the third benefit period recertification at days and every subsequent benefit period. Services provided through hospice are shown in Table Hospice services also include coverage of necessary supplies such as a bedside commode or medications. This div only appears when the trigger link is hovered over. Otherwise it is hidden from view. Forgot Username?
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Learners of all levels will benefit from this experience. Physicians should only claim credit commensurate with the extent of their participation in the activity. Jump to content Course catalog Contact Us.
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March 24, Learning Objectives Upon completion of this educational activity, participants will be better able to: Describe, observe and practice core communication skills for navigating prognosis and goals of care discussions with seriously ill hospitalized patients and their families. Identify and apply best practices in pain management in hospitalized patients with serious illness, including rational use of opioid analgesics, appropriate use of adjuvant medications for treating pain and the management of complex pain patients.
Course summary Available credit:. Course opens:. Palliative care - the new essentials. Publication date Author Abel, J. Kellehear, Allan Karapliagou, Aliki. AME Publishing Company.
Open access on the Annals of Palliative Medicine website. Reproduced with permission for reuse from the publisher.
Peer-Reviewed yes. Metadata Show full item record. Abstract Background: If global palliative care is to successfully address challenges of unequal access, continuity of care, and health services reductionism, new practice models to address these issues need to be identified, debated and tested.