Palliative care: Difference between revisions
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(Created page with "'''Palliative care'''' is a medical discipline that provides care for people with serious illness<ref name='CAPC'>{{Citation | type=web | corporation = Center to Advance Palliative Care | last name1 = Center to Advance Palliative Care | url = https://www.capc.org/about/palliative-care/ | title = About Palliative Care | cited = 2019-07-06 }}</ref>. It can be untreatable disease (e.g., diabetes mellitus, HIV, coronary artery disease, generalized malig...") |
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'''Palliative care | '''Palliative care''' is a medical discipline that provides care for people with serious illness<ref name='CAPC'>{{Citation | ||
| type=web | | type=web | ||
| corporation = Center to Advance Palliative Care | | corporation = Center to Advance Palliative Care | ||
| Line 6: | Line 6: | ||
| title = About Palliative Care | | title = About Palliative Care | ||
| cited = 2019-07-06 | | cited = 2019-07-06 | ||
}}</ref>. It can be [[incurable disease|untreatable disease]] (e.g., diabetes mellitus, HIV, coronary artery disease, generalized malignancy), but it can also be a disease that has a chance of being cured but profoundly affects the | }}</ref>. It can be [[incurable disease|untreatable disease]] (e.g., diabetes mellitus, HIV, coronary artery disease, generalized malignancy), but it can also be a disease that has a chance of being cured but profoundly affects the patients life (e.g., primary tumor, acute respiratory failure, polytrauma). The goal is to improve the quality of life of the patient and his/her family, bringing relief from the symptoms and stress associated with serious illness. It is provided at any age and at any stage of the disease, even simultaneously with curative treatment. | ||
== Palliative team == | == Palliative team == | ||
Palliative medicine provides care in the context of '''bio-psycho-socio-spiritual needs'''. Considering these components, the care is mainly team-based, with a '''palliative physician''', a '''palliative nurse''', a '''psychologist''', a '''chaplain | Palliative medicine provides care in the context of '''bio-psycho-socio-spiritual needs'''. Considering these components, the care is mainly team-based, with a '''palliative physician''', a '''palliative nurse''', a '''psychologist''', a '''chaplain''', a '''social worker''', and possibly other persons such as a '''physiotherapist''' or a '''pharmacologist''', among others. | ||
[[File:Palliative care.svg|Summary|Graphical representation of the palliative care concept]] | [[File:Palliative care.svg|Summary|Graphical representation of the palliative care concept]] | ||
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== Types of palliative care == | == Types of palliative care == | ||
In terms of time for terminal illnesses, they are divided into: | In terms of time for terminal illnesses, they are divided into: | ||
* '''early palliative care | * '''early palliative care''' - provided concurrently with curative care, especially early in the trajectory of chronic disease, | ||
* '''advanced palliative care''' - provided at an advanced stage of the chronic disease trajectory, | * '''advanced palliative care''' - provided at an advanced stage of the chronic disease trajectory, | ||
* '''terminal | * '''terminal''' or '''hospice''' palliative care - for patients with a survival prognosis of weeks or less, | ||
* '''bereavement care''' - care provided generally to the loved ones of the deceased patient, especially in the context of [[Complicated grief|complicated bereavement]]. | * '''bereavement care''' - care provided generally to the loved ones of the deceased patient, especially in the context of [[Complicated grief|complicated bereavement]]. | ||
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| isbn = 978-80-86998-51-0 | | isbn = 978-80-86998-51-0 | ||
}}</ref>: | }}</ref>: | ||
* '''general palliative care | * '''general palliative care''' - within the competence of the basic discipline involved, indicated whenever a specific disease is diagnosed, | ||
* '''specialised palliative care | * '''specialised palliative care''' - within the competence of a certified palliative care physician in situations where the planning or symptom load exceeds the capabilities of the basic specialty, | ||
* '''hospice palliative care''' - for a patient who | * '''hospice palliative care''' - for a patient who | ||
| Line 47: | Line 47: | ||
In terms of the target group, it can be divided into | In terms of the target group, it can be divided into | ||
* '''paediatric''' and | * '''paediatric''' and | ||
* '''adult | * '''adult'''. | ||
In terms of place of delivery, it can be divided into: | In terms of place of delivery, it can be divided into: | ||
* '''outpatient''' - provided in palliative care clinics as part of outpatient visits, | * '''outpatient''' - provided in palliative care clinics as part of outpatient visits, | ||
* '''inpatient | * '''inpatient''' | ||
** '''consilient''' - care provided within palliative team conferences, | ** '''consilient''' - care provided within palliative team conferences, | ||
** '''inpatient''' - care provided to inpatients in a hospital ward specialised in palliative care (a ''palliative unit''), | ** '''inpatient''' - care provided to inpatients in a hospital ward specialised in palliative care (a ''palliative unit''), | ||
* '''hospice | * '''hospice''' | ||
** '''inpatient | ** '''inpatient''' - provided to patients with a prognosis of survival of weeks or less in a specialised inpatient [[hospice]] unit, | ||
** '''home | ** '''home''' - provided in the home to patients with a survival prognosis of weeks or less in the home environment, as part of regular or acute visits by a ''mobile'' or ''home'' hospice team that visits the patient at home. | ||
<noinclude> | <noinclude> | ||
== References == | == References == | ||
=== Related sites === | === Related sites === | ||
Revision as of 18:03, 22 June 2023
Palliative care is a medical discipline that provides care for people with serious illness[1]. It can be untreatable disease (e.g., diabetes mellitus, HIV, coronary artery disease, generalized malignancy), but it can also be a disease that has a chance of being cured but profoundly affects the patients life (e.g., primary tumor, acute respiratory failure, polytrauma). The goal is to improve the quality of life of the patient and his/her family, bringing relief from the symptoms and stress associated with serious illness. It is provided at any age and at any stage of the disease, even simultaneously with curative treatment.
Palliative team
Palliative medicine provides care in the context of bio-psycho-socio-spiritual needs. Considering these components, the care is mainly team-based, with a palliative physician, a palliative nurse, a psychologist, a chaplain, a social worker, and possibly other persons such as a physiotherapist or a pharmacologist, among others.
Graphical representation of the palliative care concept
Types of palliative care
In terms of time for terminal illnesses, they are divided into:
- early palliative care - provided concurrently with curative care, especially early in the trajectory of chronic disease,
- advanced palliative care - provided at an advanced stage of the chronic disease trajectory,
- terminal or hospice palliative care - for patients with a survival prognosis of weeks or less,
- bereavement care - care provided generally to the loved ones of the deceased patient, especially in the context of complicated bereavement.
In terms of both level of expertise and symptom load, it is divided into[2]:
- general palliative care - within the competence of the basic discipline involved, indicated whenever a specific disease is diagnosed,
- specialised palliative care - within the competence of a certified palliative care physician in situations where the planning or symptom load exceeds the capabilities of the basic specialty,
- hospice palliative care - for a patient who
In terms of the target group, it can be divided into
- paediatric and
- adult.
In terms of place of delivery, it can be divided into:
- outpatient - provided in palliative care clinics as part of outpatient visits,
- inpatient
- consilient - care provided within palliative team conferences,
- inpatient - care provided to inpatients in a hospital ward specialised in palliative care (a palliative unit),
- hospice
- inpatient - provided to patients with a prognosis of survival of weeks or less in a specialised inpatient hospice unit,
- home - provided in the home to patients with a survival prognosis of weeks or less in the home environment, as part of regular or acute visits by a mobile or home hospice team that visits the patient at home.
References
Related sites
References
- ↑ {{#switch: web |book = Incomplete publication citation. Center to Advance Palliative Care. . About Palliative Care [online] . Also available from <https://www.capc.org/about/palliative-care/>. |collection = Incomplete citation of contribution in proceedings. Center to Advance Palliative Care. About Palliative Care [online] . Also available from <https://www.capc.org/about/palliative-care/>. {{ #if: |978-80-7262-438-6} } |article = Incomplete article citation. Center to Advance Palliative Care. also available from <https://www.capc.org/about/palliative-care/>. |web = Incomplete site citation. Center to Advance Palliative Care. [cit. 2019-07-06]. <https://www.capc.org/about/palliative-care/>. |cd = Incomplete carrier citation. Center to Advance Palliative Care. [cit. 2019-07-06]. |db = Incomplete database citation. [cit. 2019-07-06]. <https://www.capc.org/about/palliative-care/>. |corporate_literature = Incomplete citation of company literature. Center to Advance Palliative Care. About Palliative Care [online] . Also available from <https://www.capc.org/about/palliative-care/>. legislative_document = Incomplete citation of legislative document. Also available from URL <https://www.capc.org/about/palliative-care/>.
- ↑ {{#switch: book |book = Incomplete publication citation. ROCK,, et al. Palliative Care for Patients in Terminal Stage of Disease : Recommended and treatment procedure for general practitioners [online] . Prague : Society of General Medicine, 2011. 1; Also available from <https://www.paliativnimedicina.cz/sites/www.paliativnimedicina.cz/files/users/simicek/paliativni-pece-2011pro_pl.pdf>. 978-80-7262-438-6. |collection = Incomplete citation of contribution in proceedings. ROCK,, et al. Palliative Care for Patients in Terminal Stage of Disease : Recommended and treatment procedure for general practitioners [online] . Prague : Society of General Medicine, 2011. 1; Also available from <https://www.paliativnimedicina.cz/sites/www.paliativnimedicina.cz/files/users/simicek/paliativni-pece-2011pro_pl.pdf>. {{ #if: 978-80-86998-51-0 |978-80-7262-438-6} } |article = Incomplete article citation. ROCK,, et al. 2011, year 2011, also available from <https://www.paliativnimedicina.cz/sites/www.paliativnimedicina.cz/files/users/simicek/paliativni-pece-2011pro_pl.pdf>. |web = Incomplete site citation. ROCK,, et al. Society of General Medicine, ©2011. <https://www.paliativnimedicina.cz/sites/www.paliativnimedicina.cz/files/users/simicek/paliativni-pece-2011pro_pl.pdf>. |cd = Incomplete carrier citation. ROCK,, et al. Society of General Medicine, ©2011. |db = Incomplete database citation. Society of General Medicine, ©2011. <https://www.paliativnimedicina.cz/sites/www.paliativnimedicina.cz/files/users/simicek/paliativni-pece-2011pro_pl.pdf>. |corporate_literature = ROCK,, et al. Palliative Care for Patients in Terminal Stage of Disease : Recommended and treatment procedure for general practitioners [online] . Prague : Society of General Medicine, 2011. 1; Also available from <https://www.paliativnimedicina.cz/sites/www.paliativnimedicina.cz/files/users/simicek/paliativni-pece-2011pro_pl.pdf>. 978-80-7262-438-6} }
