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Monday, March 25, 2013
  Clinical Accuracy Spoken Here  

Palliative Care: What Is It?

Non-hospice palliative care is distinguished from hospice palliative care as it is offered simultaneously with life-prolonging and curative therapies.

Hospice palliative care is limited to patients with terminal prognoses.

The stages of palliative care can be viewed as a continuum.

[Reference: EOL & Palliative Care, Module A, Evolving Role]
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  Excellence in Case Mgmt  

EOL & Palliative Care: Defining Family

Note that the patient's family is defined by the patient and should be respected by all providers. When a surrogate decision maker is designated, this individual should receive the same education and support services that are provided to the patient.

CMs may be following patients through ambulatory, home health care or acute care and the referral for case management may come at different stages of the disease trajectory.

[Reference: EOL & Palliative Care, Module A and E, Evolving Role and CM]
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  Improving Patient Care...  

The EOL Care Continuum

The Palliative Care continuum which is curative wanes as the illness progresses tapering to nonexistence in the last hours of life.

Comfort-oriented symptom control and supportive care increase over time, maximizing as dying culminates in death. Often people receive this care through a hospice program.

Anticipatory grief begins before death. Bereavement continues for some time after death.

Palliative care encompasses all 3 phases for the family as well as for the patient.

[Reference: EOL & Palliative Care, Module A, Evolving Role]
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Tom RasmussenTom Rasmussen
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