Health Sciences 4710A/B Study Guide - Midterm Guide: Continuing Medical Education, District Nurse, Long-Term Care
17 Apr 2017
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Document Summary
Palliative care touches all aspects of healthcare: the care of people in the last months and weeks of life, complementary and vital not alternative. Challenge of trying to improve physical well-being and prolong life while being realistic. Death should be discussed with patients likely to die within 12 months. Normally delivered by general practitioner or a community team: no training not as well delivered, gp unhappy with their competence, low confidence. Despite the majority of people wishing to die at home, most of patients die in hospital: lack of discussion, lack of recognition of the fact that patients near death. Challenges: dealing with multiple illnesses, unmet need of supporting people (for all aspects of health spiritual, emotional, physical etc. , access to resources. Hospice: more than solely a place of care, synonymous with palliative care, dependent on attitude, expertise and understanding, includes hospital care.
