Palliative Care

Swetz, Keith M.; Kamal, Arif H.

doi:10.7326/aitc201803060

Cited by 21 publications

(11 citation statements)

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“…Palliative care (PC) is an interdisciplinary type of specialized care focused on improving or maintaining quality of life for patients with a serious illness and for their families. 1 Hospice is a subset of PC for patients with more advanced serious illness and an expected survival of less than 6 months. Upstream from hospice care, PC does not have prognosis or disease severity requirements and aims to be included in care from the time of diagnosis onward.…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Trends Among Patients With Cardiovascular Disease Referred to Palliative Care

et al. 2019

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Section: Introductionmentioning

confidence: 99%

Characteristics and Trends Among Patients With Cardiovascular Disease Referred to Palliative Care

et al. 2019

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“…[12] However, one can deduce that admissions, complications, and costs relating to noncancer-related illnesses far outweigh that of cancer-related illnesses. [34] Determination of whether noncancer illnesses are terminal is dependent on illness and patient-related factors;[56] however, this study showed there is marked variability among medical professionals as to what point these illnesses become terminal. Frequent hospitalization as a red flag[5] is also not appreciated among medical staff.…”

Section: Discussionmentioning

confidence: 99%

“…As perverse as this may sound, the incentives generated by the fee-for-service payment system may also be a realistic barrier (not highlighted in this study) as the implementation of palliative specialty care may inadvertently reduce revenue. [26712] This not only adds to the fear but can also lead to medical management that is not tailored to the patient's needs.…”

Section: Discussionmentioning

confidence: 99%

Barriers to effective use of palliative care services in the acute care setting with emphasis on terminal noncancer diseases

Kennedy¹,

Abdullah²,

Bhadra³

et al. 2019

Indian J Palliat Care

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Introduction:This study assessed the views of nurses, resident doctors, and attending physicians of the use of a readily available pain and palliative care specialty at their institution while assessing their ability to recognize terminal noncancer illnesses.Methodology:In community hospital consisting of an in-patient pain and palliative specialty, attending physicians, residents, and nurses participate in a survey highlighting the following: parameters for referral/consultation, definition of noncancer-related terminal illnesses, role of pain and palliative care in acute care, consult/referral delay, barriers to effective referral, recognition and withdrawal of futile care, and opioid prescription. Patterns of responses by each professional group were compared and contrasted.Results:The most common accepted reasons for referral were that of hospice care, terminal cancer, and uncontrolled pain, while reasons related to terminal noncancer illnesses were less accepted. A majority of approved physical and social parameters to define terminal noncancer illnesses were not universally accepted among the groups-especially among attendings and residents. While most participants agreed that the best time to refer to palliative care specialty was at the point of diagnosis of a terminal illness, >25% of participants from each group felt that referrals should be done later in the course of the illness. The most highlighted reasons expressed by attendings and residents for the delay in consult were either that of excessive withdrawal of modalities of care or interference with ongoing management that may benefit the patient. Most residents and nurses agreed that attendings' reluctance to consult is a major barrier to its utilization.Conclusion:Barriers to effective utilization are multifactorial, mostly relating to perceptions of the specialty as well as ineffective communication within specialties.

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“…Los CP buscan atender, de forma activa y holística, a los pacientes de todas las edades con enfermedades crónicas, que generan sufrimiento debido a su severidad, y con mayor intensidad en aquellos que se encuentran cerca del final de la vida. Lo que se busca es mejorar su calidad de vida, la de sus familias y cuidadores, a través de un equipo multidisciplinario conformado por médicos, enfermeros, psicólogos, trabajadores sociales y asesores espirituales (2,3) .…”

Section: Introductionunclassified

Cuidados paliativos: conceptos básicos

Santacruz¹,

Gil²

2021

Rev. Nutr. Clin. Metab.

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Históricamente, los cuidados paliativos se han considerado como una intervención en salud, que busca mitigar el sufrimiento e integrar, de forma holística, todos los aspectos del ser: físicos, psicosociales y espirituales. Estos cuidados se aplican a los pacientes con enfermedades crónicas y amenazantes para la vida, tanto malignas como no malignas, exclusivamente en etapas finales. Esta percepción ha ido cambiando con el paso del tiempo, ya que su objetivo se centra en mejo-rar la calidad de vida no solo de los pacientes, sino de las familias que enfrentan este tipo de enfermedades, desde el momento del diagnóstico y a lo largo del progreso de las mismas. Los cui-dados paliativos han demostrado favorecer la adecuada adherencia a los tratamientos en etapas tempranas, e incluso mejorar la sobrevida en algunas entidades, haciéndose más necesarios e intensos en estadios avanzados, a través del adecuado control sintomático y la intervención multidisciplinaria. En este artículo se presentan los conceptos básicos, un marco histórico y se abre una perspectiva para entender el papel de los cuidados paliativos en la nutrición.

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Palliative Care

Cited by 21 publications

References 0 publications

Characteristics and Trends Among Patients With Cardiovascular Disease Referred to Palliative Care

Characteristics and Trends Among Patients With Cardiovascular Disease Referred to Palliative Care

Barriers to effective use of palliative care services in the acute care setting with emphasis on terminal noncancer diseases

Cuidados paliativos: conceptos básicos

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