Palliative care is specialized medical care for people with serious illness that focuses on the best quality of life for both the patient and his or her family. To palliate comes from the Latin word "palliare," meaning "to cloak," or to ease symptoms without curing the underlying disease. The primary goal of palliative care is to provide quality of life for the patient and family, achieved through an interdisciplinary approach that includes symptom control and support for the patient and family. Palliative care is focused on providing patients with relief from the symptoms, pain, and stress of a serious illness - whatever the diagnosis. The interdisciplinary team consists of doctors, nurses, and other specialists who work with a patient's other doctors to provide an extra layer of support. Palliative care is appropriate at any age and at any stage in a serious illness, and can be provided together with curative treatment.
Hospice is a philosophy and delivery system of care that focuses on the palliative care needs of the patient unit (patients and caregivers), to relieve suffering and promote comfort during the end-of-life transition when curative therapy is no longer desired and/or an option.
Palliative care should be integrated into the daily clinical practice of patient care, regardless of the underlying illness or stage of disease.
Hospice care should be considered for patients facing life-threatening illness with anticipated life expectancy of ≤6 months.
- Outpatient palliative care services
- Hospice-care services
- Need for palliative care
- Role of prognostication
- Goals of care
- Comprehensive palliative care assessment
- Illness trajectories
- Overview of common symptoms experienced by patients in the palliative care setting
- Overview of treatment of the seriously ill patient
- Pain management
- Tools to document advance-care planning
- Palliative sedation and physician-assisted death
Associate Professor of Medicine
University of Colorado Hospital Palliative Care Service
University of Colorado School of Medicine
JY is an unpaid member of the American Academy of Hospice and Palliative Medicine Quality/Practices Standards Committee, the American Academy of Hospice and Palliative Medicine Technical Advisory Panel for the Hospital Palliative Care Joint Commission Advanced Certification Program, and the National Comprehensive Cancer Network (NCCN) Pain Panel Committee. JY is an author of several references cited in this topic.
Macmillan Consultant and Honorary Senior Lecturer in Palliative Medicine
St George's University of London
OM is funded for his work as a Macmillan secondary care advisor.
Gaisman Professor of Medical Ethics
Departments of Geriatrics and Medicine
Hertzberg Palliative Care Institute
Center to Advance Palliative Care
Mount Sinai School of Medicine
DEM has received HIH-NCI ROI funding greater than 6 figures USD. DEM declares that she has no competing interests.
Assistant Professor of Medicine
University of Colorado School of Medicine and the Denver Veterans Affairs Medical Center
CL declares that she has no competing interests.
Chief Executive Officer
Colorado Center for Hospice & Palliative Care
CK declares that he has no competing interests.
Palliative Care, Policy and Rehabilitation
King's College London/King's Healthcare Partners
IJH declares that she has no competing interests.
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