scholarly journals Primary Care Physician Knowledge, Utilization, and Attitude Regarding Advance Care Planning, Hospice, and Palliative Care: Much Work Remains (757)

2011 ◽  
Vol 41 (1) ◽  
pp. 307 ◽  
Author(s):  
Sara Snyder ◽  
Kyle Allen ◽  
Susan Hazelett ◽  
Steven Radwany
Keyword(s):  
Primary Care ◽  
Palliative Care ◽  
Primary Care Physician ◽  
Advance Care Planning ◽  
Care Physician ◽  
Knowledge Utilization ◽  
Care Planning ◽  
Physician Knowledge ◽  
Advance Care ◽  
Hospice And Palliative Care

scholarly journals Primary Care Physician and Beneficiary Characteristics Associated With Billing for Advance Care Planning

2020 ◽  
Vol 68 (5) ◽  
pp. 1108-1110
Author(s):  
Seuli Bose‐Brill ◽  
Laura Prater ◽  
Evan V. Goldstein ◽  
Wendy Xu ◽  
Karen O. Moss ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Advance Care Planning ◽  
Care Physician ◽  
Care Planning ◽  
Advance Care

Integrative Palliative Care

2018 ◽  
Author(s):  
Angela Lee ◽  
Stephanie Cheng ◽  
Dale Lupu
Keyword(s):  
Primary Care ◽  
Palliative Care ◽  
End Of Life ◽  
Integrative Medicine ◽  
Advance Care Planning ◽  
Palliative Medicine ◽  
Geriatric Patients ◽  
Care Planning ◽  
Patient Goals ◽  
Advance Care

Integrative medicine and palliative medicine share many tenets. This chapter reviews integrative approaches to the most common symptoms needing palliation among geriatric patients at the end of life, including pain, nausea and vomiting, constipation, dyspnea, and fatigue. Several palliative care approaches to communication about patient goals and advance care planning for a time when the patient is unable to make decisions are described. Resources to support advance care planning are provided. Finally, issues that need to be addressed by either primary care geriatrics or in consultation with palliative care in the last weeks, days, and hours of life are described.

scholarly journals COVID-19 Pandemic Response: Development of Outpatient Palliative Care Toolkit Based on Narrative Communication

2020 ◽  
Vol 37 (11) ◽  
pp. 985-987
Author(s):  
Benjamin Roberts ◽  
Scott M. Wright ◽  
Colleen Christmas ◽  
Mariah Robertson ◽  
David Shih Wu
Keyword(s):  
Primary Care ◽  
Palliative Care ◽  
Curriculum Development ◽  
End Of Life ◽  
Advance Care Planning ◽  
Symptom Management ◽  
Care Planning ◽  
Palliative Care Education ◽  
Advance Care ◽  
Primary Care Clinicians

Context: The coronavirus disease 2019 (COVID-19) pandemic laid bare the immediate need for primary palliative care education for many clinicians. Primary care clinicians in our health system reported an urgent need for support in advance care planning and end-of-life symptom management for their vulnerable patients. This article describes the design and dissemination of palliative care education for primary care clinicians using an established curriculum development method. Objectives: To develop a succinct and practical palliative care toolkit for use by primary care clinicians during the COVID-19 pandemic, focused on 2 key elements: (i) advance care planning communication skills based on the narrative 3-Act Model and (ii) comfort care symptom management at the end of life. Results: The toolkit was finalized through an iterative process involving a team of end-users and experts in palliative care and primary care, including social work, pharmacy, nursing, and medicine. The modules were formatted into an easily navigable, smartphone-friendly document to be used at point of care. The toolkit was disseminated to our institution’s primary care network with practices spanning our state. Early feedback has been positive. Conclusion: While we had been focused primarily on the inpatient setting, our palliative care team at Johns Hopkins Bayview Medical Center pivoted existing infrastructure and curriculum development expertise to meet the expressed needs of our primary care colleagues during the COVID-19 pandemic. Through collaboration with an interprofessional team including end-users, we designed and disseminated a concise palliative care toolkit within 6 weeks.

Connecting Personal Experiences of Loss and Professional Practices in Advance Care Planning and End-of-Life Care: A Survey of Providers

2018 ◽  
Vol 35 (11) ◽  
pp. 1369-1376
Author(s):  
Cara L. Wallace ◽  
Dulce M. Cruz-Oliver ◽  
Jennifer E. Ohs ◽  
Leslie Hinyard
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
End Of Life ◽  
Advance Care Planning ◽  
Professional Practices ◽  
Care Planning ◽  
Personal Experiences ◽  
Advance Care ◽  
Hospice And Palliative Care ◽  
Eol Care

Background: Although practitioners overwhelmingly agree on the importance of advance care planning (ACP) and preparing for the end of life (EOL), the process is fraught with barriers. Objective: The goal of this research was to explore potential connections between providers’ own personal experiences and current professional practices in ACP and EOL care. Design: A cross-sectional survey design, gathering voluntary, anonymous responses from participants between August and December 2016. The survey sought information from providers in 3 distinct areas: (1) personal experiences of loss, (2) personal ACP, and (3) professional practices related to ACP and EOL care. Setting/Participants: One hundred and ninety health-care professionals (primarily physicians, nurses, and social workers) participated in the survey across a greater, Metropolitan area in the Midwest. Measurements: Questions for professional practices were subscales from the End-of-Life Professional Caregiver Survey: Patient- and Family-Centered Communication (PFCC) and Effective Care Delivery (ECD). Questions developed by the research team were evaluated by judges chosen for clinical and/or research expertise. Results: Numerous connections were found between professionals’ histories of loss, personal ACP, and professional practices. For example, both clinicians with personal experience caring for someone who is dying and clinicians who had completed their own ACP scored higher in both PFCC and ECD and were more likely to refer patients to hospice and palliative care. Conclusions: Results support educational interventions involving opportunities for reflection and completion and communication about ACP. Additionally, educational opportunities for students in health care should focus on incorporating both ACP and greater exposure to hospice and palliative care.

Advance care planning in hospices and palliative care

2018 ◽  
Author(s):  
Sarah Russell ◽  
Simon Noble
Keyword(s):  
Palliative Care ◽  
Advance Care Planning ◽  
Care Planning ◽  
Challenges And Opportunities ◽  
Care Approach ◽  
Advance Care ◽  
Hospice And Palliative Care ◽  
Changing Role ◽  
Hospice Palliative Care

This chapter includes an overview of the role of the hospice and palliative care approach in advance care planning (ACP). Evidence, issues, challenges, and opportunities are discussed. The challenge of overlapping definitions and consensus about the hospice, palliative care, and advance care planning is highlighted as well as the changing role of the hospice and palliative care and implications for ACP is explored. New types of conversations are discussed e.g. living with dying, managing uncertainty, expectations, ceilings of treatment, investigations and dying in hospices. The way forward such as collaboration, co-ordination, and partnerships with other providers as well as a consistency of approach (within settings, roles, or person to person) is suggested.

Demenz aus palliativmedizinischer Perspektive: warum ein krankheitsspezifisches Advance Care Planning wichtig ist

2018 ◽  
Vol 75 (2) ◽  
pp. 105-111 ◽  
Author(s):  
Ralf J. Jox ◽  
Francesca Bosisio ◽  
Eve Rubli Truchard
Keyword(s):  
Palliative Care ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care ◽  
Menschen Mit Demenz

Zusammenfassung. Die Palliative Care muss sich im Zuge des demographischen Wandels vieler Gesellschaften rund um den Globus tiefgreifend wandeln. Sie muss mehr und mehr mit der Geriatrie zusammenarbeiten und geriatrische Expertise integrieren. Eine der zentralen Herausforderungen Geriatrischer Palliative Care ist die ethisch angemessene Therapieentscheidung für Menschen, die nicht mehr urteilsfähig sind. Nachdem der bisherige Ansatz herkömmlicher Patientenverfügungen erwiesenermassen enttäuscht hat, wird aktuell, gerade auch in deutschsprachigen Ländern, das systemische Konzept des Advance Care Planning (ACP) verfolgt. In diesem Artikel wird zunächst ACP mit seinen Zielen, Elementen und Effekten vorgestellt. Sodann wird gezeigt, weshalb es für Menschen mit Demenz eines adaptierten ACP-Programms bedarf und was ein solches demenzspezifisches ACP beinhalten muss.

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