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The overall goal of palliative care is to improve quality of life of individuals with serious illness, any life-threatening condition which either reduces an individual's daily function <u>or</u> quality of life or increases caregiver burden, through pain and symptom management, identification and support of caregiver needs, and care coordination. Palliative care can be delivered at any stage of illness alongside other treatments with curative or life-prolonging intent and is not restricted to people receiving [[end-of-life care]].<ref name="National Consensus Project for Quality Palliative Care 2018">{{cite web|url=https://www.nationalcoalitionhpc.org/ncp|title=Clinical Practice Guidelines for Quality Palliative Care, 4th edition|last=National Consensus Project for Quality Palliative Care|date=2018|access-date=2019-12-18}}</ref><ref name=":02">{{Cite journal|last1=Ahluwalia|first1=Sangeeta|last2=Walling|first2=Anne|last3=Lorenz|first3=Karl|last4=Goldstein|first4=Nathan|date=Feb 2019|title=Current Evidence in Palliative Care: A Systematic Review in Support of the National Consensus Project's Clinical Practice Guidelines for Quality Palliative Care, 4th edition (NCP Guidelines) (SA524)|journal=Journal of Pain and Symptom Management|volume=57|issue=2|pages=451–452|doi=10.1016/j.jpainsymman.2018.12.201|issn=0885-3924|doi-access=free}}</ref> Historically, palliative care services were focused on individuals with incurable [[cancer]], but this framework is now applied to other diseases, like severe [[heart failure]],<ref>{{Cite web|title=Heart failure - palliative care: MedlinePlus Medical Encyclopedia|url=https://medlineplus.gov/ency/patientinstructions/000365.htm|website=medlineplus.gov|language=en|access-date=2020-04-30}}</ref> [[chronic obstructive pulmonary disease]],{{Citation needed|date=December 2019}} and [[multiple sclerosis]] and other [[Neurodegenerative Diseases|neurodegenerative]] conditions.<ref>{{Cite journal|last1=Foley|first1=Peter|last2=Hampton|first2=Justine|last3=Hampton|first3=Andy|last4=Hampton|first4=Ruth|last5=Oleksy|first5=Danny|last6=Oliver|first6=David|last7=Weller|first7=Belinda J|date=2012|title=Lesley's story: a case report, and discussion of challenges faced in end-of-life care for progressive neurological disease|journal=Practical Neurology|language=en|volume=12|issue=4|pages=244–248|doi=10.1136/practneurol-2012-000263|pmid=22869768|s2cid=38747721|issn=1474-7758}}</ref>
Palliative care can be initiated in a variety of care settings, including emergency rooms, hospitals, hospice facilities, or at home.<ref>{{cite web|title=Hospice and Palliative Medicine Specialty Description|publisher=American Medical Association|url=https://www.ama-assn.org/specialty/hospice-and-palliative-medicine-specialty-description|access-date=22 October 2020}}</ref> For some severe disease processes, [[Specialty (medicine)|medical specialty]] [[professional organizations]] recommend initiating palliative care at the time of diagnosis or when disease-directed options would not improve a patient's
Appropriately engaging palliative care providers as a part of patient care improves overall symptom control, quality of life, and family satisfaction of care while reducing overall healthcare costs.<ref>{{Cite journal|last1=Dy|first1=Sydney M.|last2=Apostol|first2=Colleen|last3=Martinez|first3=Kathryn A.|last4=Aslakson|first4=Rebecca A.|date=Apr 2013|title=Continuity, Coordination, and Transitions of Care for Patients with Serious and Advanced Illness: A Systematic Review of Interventions|journal=Journal of Palliative Medicine|language=en|volume=16|issue=4|pages=436–445|doi=10.1089/jpm.2012.0317|pmid=23488450|issn=1096-6218|hdl=2027.42/140114|hdl-access=free}}</ref><ref>{{Cite journal|last1=Fawole|first1=Oluwakemi A.|last2=Dy|first2=Sydney M.|last3=Wilson|first3=Renee F.|last4=Lau|first4=Brandyn D.|last5=Martinez|first5=Kathryn A.|last6=Apostol|first6=Colleen C.|last7=Vollenweider|first7=Daniela|last8=Bass|first8=Eric B.|last9=Aslakson|first9=Rebecca A.|date=2012-10-26|title=A Systematic Review of Communication Quality Improvement Interventions for Patients with Advanced and Serious Illness|journal=Journal of General Internal Medicine|volume=28|issue=4|pages=570–577|doi=10.1007/s11606-012-2204-4|pmid=23099799|pmc=3599019|issn=0884-8734}}</ref>
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