Case studies in palliative and end of life care pdf
SCIE: End of life care - Case study: Holistic palliative careBy defining appropriate evaluations and outcomes, this guideline attempts to equip the clinician with knowledge of appropriate discussions, clinical interventions, and utilization of palliative care and hospice. This guideline is appropriate for adult patients who still desire curative or life-prolonging treatments, or patients who are best served by active end-of-life management. This guideline will not assist providers in the identification or care for pediatric patients with life-threatening or chronic progressive illness. Aims Increase the identification of patients who are in the early stages of a serious illness who would benefit from palliative care. Annotations 1, 2 Improve the effectiveness and comfort level of the clinician in communicating the necessity and benefits of palliative care with those patients with a serious illness. Annotation 1 Increase the completion and documentation of health care directive and health care proxy for patients with a serious illness.
End of life - Ideas for practice: Case study
Nursing home residents are a vulnerable and frail segment of the population, characterised by their complex and palliative care needs. To ensure an integrated approach to palliative care for this target group, working on a collaborative basis with multiple providers across organisational boundaries is necessary. A dual-phase sequential mixed-methods design was applied. First, the coordinators of each of the fifteen palliative networks in Flanders completed a survey in which they evaluated ten aspects of collaboration for two types of cooperation: between nursing homes and home care, and between nursing homes and hospitals. Next, the survey results thus obtained were discussed to improve understanding in a focus group composed of the above coordinators, and which was analysed on the basis of content analysis.
A discussion is held with the patient and palliative care team regarding timely assessment of symptom management, ability to manage illness, changing goals, wishes, and future needs. Discussions regarding EOL wishes, plans and goals are shared throughout the health care team and may be discussed at MDC meetings as planning processes. The discussions are then continued with the patients by members of the palliative care team who are known by the patient. The outcomes of conversations are shared with the entire MDC team to continue the communication process. Documentation of this plan is mandatory. This will facilitate smooth transition into the palliative phase, thus allowing planning and respect of patient goals and wishes to be established. The initial discussion occurs at a time when the patient is not unwell or under stress e.
Patient-Centered Care: Case Studies on End of Life The five case studies presented in this palliative care to patients experiencing homelessness. Case #1.
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She is a GP, clinical commissioner and educationalist who has also worked as a speciality doctor in palliative medicine for seven years. In Catherine's case study, a deteriorating elderly patient wants to die at home with his wife. Read Catherine's case study. He also works in hospice palliative care. In Peter's case study, his patient, Ron, dies in the place of his choice thanks to advance care planning.