Defining Palliative Care Competencies in Canadian Geriatric Medicine Subspecialty Training

2011 ◽  
Vol 59 (10) ◽  
pp. 1981-1983
Author(s):  
Albert J. Kirshen ◽  
Sue L. Roff
Keyword(s):  
Palliative Care ◽  
Geriatric Medicine ◽  
Subspecialty Training

scholarly journals Does the NAIP classification predict length of stay in rehabilitation,geriatrics and palliative care?

1996 ◽  
Vol 19 (2) ◽  
pp. 56 ◽  
Author(s):  
Lynette Lee ◽  
Carmel Kennedy ◽  
Jane Aitken
Keyword(s):  
Palliative Care ◽  
Quality Management ◽  
Length Of Stay ◽  
Health Service ◽  
Daily Living ◽  
Geriatric Medicine ◽  
Resource Utilisation ◽  
Area Health Service ◽  
Area Health

The Australian National Non-Acute Inpatient Project (NAIP) reported its findingson casemix in rehabilitation and slow stream geriatric medicine in October 1992.It proposed a per diem NAIP classification of 19 classes using six major clinicalgroups and the resource utilisation groups version three activities of daily living index(RUG III ADL index). Weightings were determined based on time spent by clinicalstaff in treating these patients.A quality management study was undertaken in the rehabilitation, geriatrics andpalliative care wards of the Illawarra Area Health Service for three months in 1993,analysing length of stay and cost against the predictive weights of the NAIP classification.The study concluded that this classification was an acceptable predictor of per diem costsof care in these wards of the Illawarra but was not a good predictor of length of stay.

Older Adult Population

2021 ◽  
pp. 320-343
Author(s):  
Harry S. Strothers ◽  
Dipenkumar Patel
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Older Adult ◽  
Symptom Management ◽  
Older Patients ◽  
Adult Population ◽  
Geriatric Medicine ◽  
Physician Assistants ◽  
Syndrome Symptom ◽  
Older Adult Population

Geriatric medicine is a specialty of medicine concerned with physical, mental, functional, and social conditions in acute, chronic, rehabilitative, preventive, and end-of-life care in older patients. Geriatric palliative care integrates the complementary specialties of geriatrics and palliative care to provide comprehensive care for older patients entering the later stage of their lives and their families. This chapter provides physician assistants with an overview of palliative care in older adults, the differences between palliative care and hospice, the understanding and managing of geriatrics syndrome, symptom management in older patients and the complexities of end of life, discussion of goals of care, and communicating with geriatric patients and families.

Palliative care and geriatric medicine: shared concerns, shared challenges

2001 ◽  
Vol 15 (4) ◽  
pp. 269-270 ◽  
Author(s):  
Jane Seymour ◽  
David Clark ◽  
K Floor ◽  
Ian Philp
Keyword(s):  
Palliative Care ◽  
Geriatric Medicine

scholarly journals Palliative Care and Geriatric Medicine: A Model of Community Collaboration Across the Continuum (420)

2011 ◽  
Vol 41 (1) ◽  
pp. 244
Author(s):  
Steven Radwany ◽  
Christine Hudak ◽  
Erica Hoiles ◽  
Kyle Allen ◽  
Carolyn Holder
Keyword(s):  
Palliative Care ◽  
Geriatric Medicine ◽  
Community Collaboration ◽  
The Continuum

A 40-Year History of End-of-Life Offerings in US Medical Schools: 1975-2015

2016 ◽  
Vol 34 (6) ◽  
pp. 559-565 ◽  
Author(s):  
George E. Dickinson
Keyword(s):  
Palliative Care ◽  
Medical Students ◽  
End Of Life ◽  
Geriatric Medicine ◽  
Death And Dying ◽  
Medical Schools ◽  
The United States ◽  
Institute Of Medicine ◽  
Undergraduate Medical Students ◽  
Frequency Distributions

The purpose of this longitudinal study of US medical schools over a 40-year period was to ascertain their offerings on end-of-life (EOL) issues. At 5-year intervals, beginning in 1975, US medical schools were surveyed via a questionnaire to determine their EOL offerings. Data were reported with frequency distributions. The Institute of Medicine has encouraged more emphasis on EOL issues over the past 2 decades. Findings revealed that undergraduate medical students in the United States are now exposed to death and dying, palliative care, and geriatric medicine. The inclusion of EOL topics has definitely expanded over the 40-year period as findings reveal that US undergraduate medical students are currently exposed in over 90% of programs to death and dying, palliative care, and geriatric medicine, with the emphasis on these topics varying with the medical programs. Such inclusion should produce future favorable outcomes for undergraduate medical students, patients, and their families.

Are Geriatric Medicine Fellows Prepared for the Important Skills of Hospice and Palliative Care?

2013 ◽  
Vol 32 (3) ◽  
pp. 322-328 ◽  
Author(s):  
Qing Cao ◽  
Tae J. Lee ◽  
Stella M. Hayes ◽  
Ann M. Nye ◽  
Irene Hamrick ◽  
...  
Keyword(s):  
Palliative Care ◽  
Geriatric Medicine ◽  
Hospice And Palliative Care

scholarly journals The Overlap Between Geriatric Medicine and Palliative Care: A Scoping Literature Review

2020 ◽  
pp. 073346482090230 ◽  
Author(s):  
Renske Visser ◽  
Erica Borgstrom ◽  
Richard Holti
Keyword(s):  
Palliative Care ◽  
Literature Review ◽  
Patient Care ◽  
Geriatric Medicine ◽  
Service Development ◽  
The United Kingdom ◽  
Scoping Literature Review ◽  
Interprofessional Working ◽  
Current Health Care System ◽  
The Relationship

With an increasing aging population worldwide, there is a growing need for both palliative care and geriatric medicine. It is presumed in medical literature that both specialties share similar goals about patient care and could collaborate. To inform future service development, the objective of this review was to identify what is currently empirically known about overlapping working practices. This article provides a scoping literature review on the relationship between geriatric medicine and palliative care within the United Kingdom. The review encompassed literature written between 1997 and 2019 accessed via Scopus, Web of Science, PubMed, and Google Scholar. Three themes were identified: (a) unclear boundaries between specialties, (b) communication within and between specialisms, and (c) ambiguity of how older people fit in the current health care system. We suggest that more empirical research is conducted about the overlap between palliative care and geriatric medicine to understand how interprofessional working and patient care can be improved.

scholarly journals Palliative care competencies for geriatricians across Europe: a Delphi consensus study

2021 ◽  
Author(s):  
Sophie Pautex ◽  
◽  
Regina Roller-Wirnsberger ◽  
Katrin Singler ◽  
Nele Van den Noortgate
Keyword(s):  
Palliative Care ◽  
Older People ◽  
Rating Scale ◽  
Geriatric Medicine ◽  
Delphi Consensus ◽  
Modified Delphi ◽  
Postgraduate Level ◽  
Modified Delphi Technique ◽  
Care For Older People

Abstract Purpose Integration of palliative care competencies with geriatric medicine is important for quality of care for older people, especially in the last years of their life. Therefore, knowledge and skills about palliative care for older people should be mandatory for geriatricians. The European Geriatric Medicine Society (EuGMS) has launched a postgraduate curriculum for geriatric medicine recently. Aim Based on this work, the Special Interest Group (SIG) on Palliative care in collaboration with the SIG in Education and Training aimed to develop a set of specific palliative care competencies to be recommended for training at a postgraduate level. Methods Competencies were defined using a modified Delphi technique based upon a Likert like rating scale. A template to kick off the first round and including 46 items was developed based on pre-existing competencies developed in Switzerland and Belgium. Results Three Delphi rounds were necessary to achieve full consensus. Experts came from 12 EU countries. In the first round, the wording of 13 competencies and the content of 10 competencies were modified. We deleted or merged ten competencies, mainly because they were not specific enough. At the end of the 2nd round, one competence was deleted and for three questions the wordings were modified. These modifications had the agreement of the participants during the last round. Conclusion A list of 35 palliative care competencies for geriatricians is now available for implementation in European countries.

scholarly journals International patterns of palliative care in neuro-oncology: a survey of physician members of the Asian Society for Neuro-Oncology, the European Association of Neuro-Oncology, and the Society for Neuro-Oncology

2015 ◽  
Vol 2 (2) ◽  
pp. 62-69 ◽  
Author(s):  
Tobias Walbert ◽  
Vinay K. Puduvalli ◽  
Martin J.B. Taphoorn ◽  
Andrew R. Taylor ◽  
Rakesh Jalali
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
European Association ◽  
High Morbidity ◽  
Subspecialty Training ◽  
Specific Symptom ◽  
Asian Society ◽  
Life Issues ◽  
Specialized Palliative Care ◽  
End Of Life Issues

Abstract Background Brain tumor patients have limited survival and suffer from high morbidity requiring specific symptom management. Specialized palliative care (PC) services have been developed to address these symptoms and provide end-of-life treatment. Global utilization patterns of PC in neuro-oncology are unknown. Methods In a collaborative effort between the Society for Neuro-Oncology (SNO), the European Association of Neuro-Oncology (EANO), and the Asian Society for Neuro-Oncology (ASNO), a 22-question survey was distributed. Wilcoxon 2-sample and Kruskal-Wallis tests were used to assess differences in responses. Results Five hundred fifty-two evaluable responses were received. The most significant differences were found between Asia-Oceania (AO) and Europe as well as AO and United States/Canada (USA-C). USA-C providers had more subspecialty training in neuro-oncology, but most providers had received no or minimal training in palliative care independent of region. Providers in all 3 regions reported referring patients at the onset of symptoms requiring palliation, but USA-C and European responders refer a larger total proportion of patients to PC (P < .001). Physicians in AO and Europe (both 46%) as well as 29% of USA-C providers did not feel comfortable dealing with end-of-life issues. Most USA-C patients (63%) are referred to hospice compared with only 8% and 19% in AO and Europe (P < .001), respectively. Conclusion This is the first report describing global differences of PC utilization in neuro-oncology. Significant differences in provider training, culture, access, and utilization were mainly found between AO and USA-C or AO and Europe. PC patterns are more similar in Europe and USA-C.

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