for Health C are I nterpreters Cynthia Roat MPH Anne Kinderman MD Alicia Fernandez MD Interpreting in Palliative Care Produced with support from the California HealthCare ID: 675239
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An Introduction to Palliative Carefor Health Care Interpreters
Cynthia
Roat
, MPH
Anne
Kinderman
, MD
Alicia Fernandez, MDSlide2
Interpreting in Palliative Care
Produced with
support from
the
California
HealthCare
Foundation
www.chcf.org
February 2012
Interpreting in Palliative Care
2Slide3
What will you learn?At the end of this presentation, you’ll have a clear understanding of:What palliative care isHow palliative care is provided
How palliative care relates to other types of care
Hospice care
Comfort carePain managementWhy interpreters are critical to providing palliative careFebruary 2012Interpreting in Palliative Care
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Why do we need palliative care?
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Interpreting in Palliative Care
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Pallia – what?
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Palliate =
to make less severe
In health care, to palliate means
to lessen the severity
of
the symptoms of an illness
without curing
or removing the underlying cause. February 2012Interpreting in Palliative Care7
From two Latin terms
pallium
:
an outer garment or cloak
palliare
: to cloakSlide8
Remember this!
Palliative care
treats,
prevents, or
relieves
the symptoms
of a serious or progressive illness
but
does not cure
it.
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Palliative care is for patientsand their families and caregiversFebruary 2012
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Palliative care also focuses on understanding a patient or family’s values, to help guide medical care
“When you think about the future, what do you hope for?”
“If you knew your time were short, are there certain things you’d want to be able to do, or see, or experience? Where would you want to be?”
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When can palliative care start?
Curative care
%
focus
100
Time
Death
Terminal phase
of illness
bereavement
Adapted from S
Pantilat
, PCLC 2005
Hospice Care
Palliative Care
Diagnosis of
serious illness
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Palliative care
+
curative care
Another important point to remember:
Palliative care
alone,
when curative care
is no longer helpful
OR
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In a nutshell
Palliative care
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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 timeSlide14
How and where is palliative care provided?February 2012
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. .is a team effort!
February 2012
Palliative
care
. .
Interpreting in Palliative Care
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Palliative care provides: Time for family meetings and patient/family counseling
Coordinating
interdisciplinary meetings to discuss prognosis and treatment
optionsEstablishing goals of care
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Expertise in managing physical and emotional symptomsSlide17
Palliative care provides: February 2012
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Coordination of care across settings
Patient admission, dischargeSupport in resolving conflicts
Goals of careDNR orders and treatment requestsSlide18
Palliative Care Teams may help patients and families complete Advance DirectivesFebruary 2012
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Physicians may also help completespecific orders for future treatment(s)February 2012
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Palliative care
Hospice care
Pain management
Comfort care
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What is hospice care?February 2012Interpreting in Palliative Care
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Hospice is for people with
limited
February 2012
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life-expectancySlide23
Hospice . . .
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BOTH palliative care and hospice . . .
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Palliative
Care
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But what about “comfort
care”?
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What is the role of the interpreterin palliative care encounters?February 2012
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Remember
Interpreters are asked to convey meaning, not just convert words.
Are there messages
communicated only by
context, tone or word choice? Are there cultural issues?February 2012Interpreting in Palliative Care28Slide29
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Palliative care emphasizes
Maximizing
quality of
lifeManagement of pain and
symptomsCommunication among the treating
physicians Coordination of medical and supportive services Assistance with patient decision-making about care Support for
caregiversDelivery by a team, including interpreters
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"You matter to the last moment of your life, and we will do all we can, not only to help you die peacefully, but to live until you die.“ -Dame Cecily Saunders
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Thank youFebruary 2012
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