Palliative Care Across the Continuum of Illness An 姑息治疗在连续的疾病.pptVIP

Results Onc + Palliative Care group Reported better QOL Less depression Chose less “aggressive” care at EOL Lived Longer (11.6 months vs. 8.9 months) “Non-hospice” Palliative Care Allocate resources by need, not prognosis (hospice) Inpatient (ICU!! IPAL-ICU) Outpatient Palliative Care Programs Hospital-Based Hospice/HH Based Long-term Care Facilities 25% of Americans die in NH By 2030 NH population expected to double from 1.5 million to 3 million “When a patient is severely ill, he is often treated like a person with no right to an opinion. It is often someone else who makes the decision if and when and where a patient should be hospitalized. It would take so little to remember that the sick person too has feelings, has wishes and opinions, and has-most important of all-the right to be heard.” Elisabeth Kubler-Ross, MD Recommended Reading “Living Long in Fragile Health: The New Demographics Shape End of Life Care”, Joanne Lynn, MD (Hastings Center Report) “Letting Go. What Should Medicine Do When it Can Not Save Your Life?”, Atul Gawande (New Yorker Article) “Handbook for Mortals”, Joanne Lynn, MD “Hard Choices for Loving People” Hank Dunn (Patient-Friendly Pamphlet) “Palliative Care; Transforming the Care of Serious Illness”, Diane Meier, et al Other Resources Center to Advance Palliative Care () American Academy of Hospice and Palliative Medicine (AAHPM.org) Education in Palliative and End of Life Education () ELNEC (/elnec) EPERC () Fast Facts REFERENCES Kubler-Ross, E. (1969). On death and dying. New York, NY: Scribner. Center to Advance Palliative Care (CAPC). (2008). Palliative care and hospice care across the continuum. /palliative-care-across-the-continuum. End-of-Life Nursing Education Consortium (ELNEC) (2007). Promoting palliative care nursing. ELNEC-Core Training Program. City of Hope and American Association of Colleges of Nursing. National Consensus Project (NCP) for Quality Palliative Care (2004). National consensus project fo