Evolution of the Palliative Team

2021 ◽  
pp. 23-30
Author(s):  
Britni Lookabaugh ◽  
Charles von Gunten
Keyword(s):  
Palliative Care ◽  
Physician Assistants ◽  
Advanced Practice Nurses ◽  
Interdisciplinary Teams ◽  
Direct Care ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Care Services ◽  
Palliative Care Services ◽  
Hospice And Palliative Care

Hospice and palliative care teams are inherently interdisciplinary to be able to assess and address all the domains of palliative care for patients with chronic, complex, and life-limiting illness. These domains include the physical, psychosocial, spiritual, and practical needs of patients and families, among others. The disciplines include, but are not limited to, physician, advanced practice provider, pharmacist, nurse, social worker, and chaplain, among others. Advanced practice providers are defined in the National Consensus Project Guidelines for Quality Palliative Care as physician assistants and advanced practice nurses utilized to expand the capacity of palliative care interdisciplinary teams to deliver complex care and provide direct care. The term advanced practice provider means either physician assistants or advanced practice nurses. The development of an interdisciplinary team in the midst of team and consult growth is essential to be able to provide high-quality palliative care. Team resilience should be supported and maintained as it is necessary to meet the high demand for specialty palliative care services throughout the care continuum.

Volunteering in hospice and palliative care in the United Kingdom

2018 ◽  
Author(s):  
Ros Scott
Keyword(s):  
Palliative Care ◽  
United Kingdom ◽  
Care Services ◽  
The United Kingdom ◽  
Strategic Direction ◽  
Palliative Care Services ◽  
History Of ◽  
The Uk ◽  
Hospice And Palliative Care ◽  
Changing Role

This chapter explores the history of volunteers in the founding and development of United Kingdom (UK) hospice services. It considers the changing role and influences of volunteering on services at different stages of development. Evidence suggests that voluntary sector hospice and palliative care services are dependent on volunteers for the range and quality of services delivered. Within such services, volunteer trustees carry significant responsibility for the strategic direction of the organiszation. Others are engaged in diverse roles ranging from the direct support of patient and families to public education and fundraising. The scope of these different roles is explored before considering the range of management models and approaches to training. This chapter also considers the direct and indirect impact on volunteering of changing palliative care, societal, political, and legislative contexts. It concludes by exploring how and why the sector is changing in the UK and considering the growing autonomy of volunteers within the sector.

scholarly journals Integration of Palliative Care in the Role of the Oncology Advanced Practice Nurse

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Betty R. Ferrell, RN, PhD, MA, FAAN, FPCN, CHPN ◽  
Rose Virani, RNC, MHA, FPCN ◽  
Elinor Han, BA ◽  
Polly Mazanec, PhD, ACNP-BC, AOCN, FPCN, FAAN
Keyword(s):  
Palliative Care ◽  
Training Program ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Disease Trajectory ◽  
Barriers To Implementation ◽  
Increasing Demand ◽  
One Year ◽  
Oncology Practice

Numerous organizations have cited the increasing demand for palliative care in oncology and the challenge of a limited workforce to deliver specialty palliative care. Advanced practitioners in oncology can provide generalist or primary palliative care to complement the care provided by specialists and enhance the overall provision of care. This article reports on a National Cancer Institute–funded training program to prepare advanced practice nurses to incorporate palliative care within their practice. One-year follow-up of the first three national cohorts (N = 276) included evaluation of goal achievement as these nurses integrated palliative care within their oncology practice. Goal analysis reported here demonstrates the success of the training program in impacting practice as well as the barriers to implementation efforts. The advanced practice registered nurses’ implemented goals included extensive training of clinicians across disciplines and numerous systems changes to improve delivery of palliative care. Advanced practice nurses will continue to be a valuable source of extending palliative care into oncology care to support patients and families across the disease trajectory.

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