Helene Hudson Lecture: Taking an “upstream” approach in the care of dying cancer patients: The case for a palliative approach

‘Close to’ a palliative approach: nurses' and care aides' descriptions of caring for people with advancing chronic life‐limiting conditions

“…Given nurses' lack of clarity about roles, practice structures embedded in their contexts of care could give clear direction and accountability to have conversations about disease course, goals of care and available resources. Unquestionably, nurses at the point‐of‐care have much to offer to the integration of a palliative approach (Stajduhar & Tayler ,b), and, at the same time, an effective interprofessional team is the cornerstone of a palliative approach (Australian Department of Health and Ageing and National Health and Medical Research Council ). More research is needed to understand the complex interplay between autonomous professional practice and interprofessional team collaboration in a palliative approach (Hartrick Doane et al .…”

“…With the worldwide trajectory of ageing populations, many of whom have chronic life‐limiting conditions, end‐of‐life care is more important than ever. A nursing research‐practice collaborative in British Columbia, Canada, Initiative for a Palliative Approach: Evidence and Leadership (iPANEL), is focusing on promoting a palliative approach for people with life‐limiting illness in nonspecialised settings that provide end‐of‐life care (Stajduhar , Stajduhar & Tayler ,b). Importantly, a palliative approach builds on palliative care which in Canada has become associated with specialised care, most often to people dying from malignant diseases, during the last months and weeks of life (Stajduhar & Tayler ,b).…”

“…A nursing research‐practice collaborative in British Columbia, Canada, Initiative for a Palliative Approach: Evidence and Leadership (iPANEL), is focusing on promoting a palliative approach for people with life‐limiting illness in nonspecialised settings that provide end‐of‐life care (Stajduhar , Stajduhar & Tayler ,b). Importantly, a palliative approach builds on palliative care which in Canada has become associated with specialised care, most often to people dying from malignant diseases, during the last months and weeks of life (Stajduhar & Tayler ,b). A recent knowledge synthesis exploring the concept of a palliative approach identified three essential characteristics: an upstream orientation of early adoption of the principles of palliative care to meet the needs of people who have life‐limiting illness and their families; adaptation of palliative care knowledge to other chronic illness conditions; and integration and contextualisation within the healthcare system (Sawatzky et al .…”

Outcomes of collaborative and interdisciplinary palliative education for health care assistants: A qualitative metasummary

“…Upstream consideration of the needs of seniors at the time of diagnosis, early during their chronic illness experiences, and up to a year before the end of life is referred to as a palliative approach to care (Pesut, Potter, et al, ; Sawatzky et al, ; Stajduhar & Taylor, ). As a disease progresses and symptom burdens increase, the focus of care shifts from prolonging life to comfort care (Hennessy, Lown, Landzaat, & Porter‐Williamson, ).…”

Pallium Canada's Curriculum Development Model: A Framework to Support Large-Scale Courseware Development and Deployment

“…20 Equipping health care professionals who work in these various settings and disease groups with essential skills to initiate and provide a palliative care approach is therefore paramount. 21,22 This primary-or generalist-level palliative care, delivered by health care professionals who are not palliative care specialists, is referred to as the ''palliative care approach.'' 23 It includes identifying patients with palliative care needs early in the illness trajectory, engaging in timely advance care planning and goals of care discussions, screening for physical, psychological, social, and spiritual needs, and beginning to address these.…”