Lecture 5 Palliative Care

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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

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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

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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

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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

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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

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Palliative care is for patients and their
families and caregivers

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When palliative care start?

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How and where is palliative care
provided

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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

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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

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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

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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)

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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

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THANK YOU
questions

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