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    Lecture 5 Palliative Care

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    Palliative care aims to improve the quality of life for patients facing serious illness and their families by addressing physical, emotional, practical and spiritual needs. It can be provided at any time alongside curative treatment and is not limited to end of life care. Palliative care is delivered through various models including hospice programs, palliative care programs in hospitals and nursing homes, outpatient programs, and community programs. The scope of palliative care includes management of pain and symptoms for cancer and non-cancer patients with progressive life-threatening illnesses.

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    Lecture 5 Palliative Care

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    Palliative care aims to improve the quality of life for patients facing serious illness and their families by addressing physical, emotional, practical and spiritual needs. It can be provided at any time alongside curative treatment and is not limited to end of life care. Palliative care is delivered through various models including hospice programs, palliative care programs in hospitals and nursing homes, outpatient programs, and community programs. The scope of palliative care includes management of pain and symptoms for cancer and non-cancer patients with progressive life-threatening illnesses.

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    Palliative care aims to improve the quality of life for patients facing serious illness and their families by addressing physical, emotional, practical and spiritual needs. It can be provided at any time alongside curative treatment and is not limited to end of life care. Palliative care is delivered through various models including hospice programs, palliative care programs in hospitals and nursing homes, outpatient programs, and community programs. The scope of palliative care includes management of pain and symptoms for cancer and non-cancer patients with progressive life-threatening illnesses.

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    39 views15 pages

    Lecture 5 Palliative Care

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    photo copyhemn
    Palliative care aims to improve the quality of life for patients facing serious illness and their families by addressing physical, emotional, practical and spiritual needs. It can be provided at any time alongside curative treatment and is not limited to end of life care. Palliative care is delivered through various models including hospice programs, palliative care programs in hospitals and nursing homes, outpatient programs, and community programs. The scope of palliative care includes management of pain and symptoms for cancer and non-cancer patients with progressive life-threatening illnesses.

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    of 15

    KOMAR UNIVERSITY

    OF SCIENCE AND TECHNOLOGY


    Lecture 5: An Introduction to Palliative Care
    Naschmil Abdulla
    MSc Clinical Pharmacy Practice
    Outline
    • What palliative care is
    • How and where palliative care is provided
    • How palliative care relates to other types of care
    Hospice
    Comfort care
    Pain management
    • Case study to address various issues palliative care patients facing

    2
    Palliative care
    • Palliate = to make less severe
    • From two latin terms
    Pallium: an outer garment or cloak
    Palliare: to cloak
    • In healthcare, to palliate means to lessen the severity of the
    symptoms of an illness without curing or removing the underlying
    cause

    3
    Palliative care
    • Aims to improve the quality of life
    • For patients who are facing serious illness
    • As well as for their family and friends
    • Can be provided at any time

    4
    Why do we need palliative care?
    • Addresses a broad range of issues, integrating an individual’s
    specific needs into care
    • Care maybe different from one patient to another
    • Concentrates on:
    Physical
    Emotional
    Practical
    Spiritual

    5
    Issues addressed in palliative care
    • Physical:
    Physical symptoms such as pain, fatigue, loss of appetite, nausea,
    vomiting, shortness of breath and insomnia
    • Emotional and coping:
    Depression, anxiety and fear
    • Practical:
    May face financial and legal worries, insurance questions, employment
    concerns
    • Spiritual:
    Help people to explore their belief and values

    6
    Palliative care is for patients and their
    families and caregivers

    7
    When palliative care start?

    8
    How and where is palliative care
    provided

    9
    Models of Palliative Care
    • Hospice:
    Well-established program to provide patient with prognosis of 6 months or less
    • Palliative care programs:
    Institutional based program in hospital or nursing home to serve patients with life-
    threatening or life-limiting illness
    • Outpatient palliative care programs:
    Occur in ambulatory care settings to provide continuity of care for patients with
    serious or life-threatening illnesses
    • Community palliative care programs:
    Occur in communities ad consultative teams who collaborate with hospice to
    support ill patients who have not yet accessed hospice

    10
    Scope of service
    Cover both cancer and non-cancer patients with progressive life
    threatening illness including
    • Medical management of chronic cancer pain and other distressing
    physical symptoms related to advanced cancer
    • Medical management of pain and other distressing physical
    symptoms related to progressive life-threatening non cancerous
    illnesses:
    End stage cardiac and renal disease
     progressive neurodegenerative disorders
    Severe chronic airway limitation and poor candidate for ventilation

    11
    Scope of service continued
    Life threatening pediatric conditions
    HIV/AIDS not responding to anti-retroviral therapy
    Frailty in the elderly with multiple progressive comorbidities
    Provision of terminal facing life-threatening illness
    Provision of psychosocial and spiritual support to patient and family facing-
    life-threatening illness

    12
    Principles of palliative care
    management
    • Holistic care:
    Alleviate suffering in physical, psychological, social and spiritual domains of patient
    • Multidisciplinary care:
    Essential to address all relevant areas of patient care
    • Effective communication:
    Listening, providing information, facilitating decision making and coordinating care
    • Knowledge and skill
    Active care and requires specific management for specific conditions
    • Seamless care:
    Integral to all healthcare settings (hospital, emergency department, health clinics
    and homecare)

    13
    Palliative care vs Hospice
    IN COMMON

    Comfort care
    Offer a higher quality of life
    Helps patients and loved ones
    PALLIATIVE CARE cope
    HOSPICE
    Any stage of disease
    Transition between late Prognosis of 6 months or
    life and end of life less
    supplement to current Expected not to recover
    treatments from disease
    Non-curative care

    14
    THANK YOU
    questions

    15

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