Palliative Care 101 (these days)

Palliative Care 101 (these days)

BJ Miller Zen Hospice Project

Feb 23, 2015

Today

? History + definition of terms ? Need for PC ? Impact ? Challenges + Opportunities

History and definitions

Definition: Center for Medicare and Medicaid Services

"Palliative care" means patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering. Palliative care throughout the continuum of illness involves addressing physical, intellectual, emotional, social, and spiritual needs and to facilitate patient autonomy, access to information, and choice.

Suffering

Existential/Spiritual

Social

Emotional

Intellectual

Physical

Logistical

Key PC Characteristics

? Care is provided and services are coordinated by an

interdisciplinary team;

? Patients, families, palliative and non-palliative health care

providers collaborate and communicate about care needs;

? Services are available concurrently with or independent of

curative or life-prolonging care;

? Patient and family hopes for peace and dignity are supported

throughout the course of illness, during the dying process, and after death.

Source: National Consensus Project for Quality Palliative Care, Clinical Practice Guidelines for Quality Palliative

Care, Third Edition (2013)

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PC settings and delivery models

Inpatient PC (IP PC)

? Inpatient units and consultation service (with consultation services as the most prevalent delivery model) ? Center to Advance Palliative Care estimates that 80% of acute care hospitals with >50 beds have such services*

Community-based PC (CBPC)

Multiple settings: ? Home ? Clinic (stand alone or embedded in another practice) ? Long Term Care / Skilled Nursing Facility & Rehab ? Distance/phone

Provider affiliations: ? Health systems and hospitals ? Hospices ? Medical groups (including specialty PC practices) ? Post-acute care providers

*Palliative Care in Hospitals Continues Rapid Growth Trend, According to Latest CAPC Analysis. Accessed from:

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Palliative Care Hospice

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