Dr Sandhya BhallaRegev MD Palliative care is the right of every individual suffering from incurable illness Position Palliative care pronounced palleeuh tiv is specialized medical care for people with serious illnesses It focuses on providing patients with relief fro ID: 650816
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Slide1
Introduction to Palliative Care
Dr. Sandhya Bhalla-Regev, MDSlide2
Palliative care is the right of every individual suffering from incurable illness.
PositionSlide3
Palliative care (pronounced pal-lee-uh-tiv
) is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis.
The
goal is to improve quality of life for both the patient and the family.
What is Palliative Care? Slide4
Difference between Palliative care and Hospice programsSlide5
Curative care
is directed at healing or curing a disease....like taking an antibiotic for a bladder
infection, Vitamin
C if you have scurvy or receiving therapy following a stroke. Palliative care
involves offering care that helps relieve the symptoms, but does not cure or treat the cause of a disease...like getting a massage for a stiff neck and sore shoulder which is caused by a ruptured disc in the cervical spine. The massage helps alleviate some of the pain, but does not cure the spinal defect.
Care DefinedSlide6
Treatments and interventions that enhance comfort and improve quality of life.
No specific therapy is excluded from consideration.
Palliative
TreatmentsSlide7
From a patient perspective
:
Why Palliative Care?Slide8
Palliative Care in the ElderlySlide9
Mr. H is an 80 year old male with advanced Parkinson’s disease
He was a neuroscientist until retiring 10 years ago.
Diagnosed with Parkinson’s Disease 10 years ago
He can no longer walk, is wheel chair to bed bound, cannot make his needs knownHe is dependent on caregivers for feeding, toileting, dressing, walking and transfers.He has been married for 55 years.
He has two children who live in other states
His wife is his sole caregiver and distraught over his decline and feels very guilty about making decisions for her husband.
Mr. H’s StorySlide10
Mr. H has been hospitalized many times for UTI and pneumoniaMr. H has been losing weight.
Mr. H gets agitated when doing personal care.
Mr. H has just moved to and RCFE due to continued decline
He Suffered from pain from contractures in his legs and armsMr. H’s Story ContinuedSlide11
Palliative Care Consult requested to discuss goals of care with Mrs. H and children.
His wife confirmed that what gave meaning to Mr. H’s life was his intellect and his family
She felt that he would not have wanted to continue getting aggressive treatments
Started on methadone for pain managementMr. H went onto hospice care and a month later went into respiratory distress from aspiration and died of pneumonia
His family members were much more prepared after going through discussions with the palliative care teamSlide12
1. Address pain and other uncomfortable symptoms.
2. Assist patients with difficult decision making.
3.Coordinate care with other providers to help patients navigate the health system.
4. Guide patients to make a plan for living well based on their needs, concerns and goals. 5. Address code status/POLST.
6.Provide advanced illness prognostication.
Palliative care consultSlide13
Relief from symptoms, such as;
Pain
Shortness of breath
FatigueConstipation/DiarrheaNausea/VomitingLoss of appetiteDifficulty sleeping
Expected Benefits of Palliative Care Slide14
Palliative care is provided by a team of doctors,
nurses, social workers
and other specialists who work together with a patient’s other
doctor(s) to provide an extra layer of support. The care team may also include, clergy, massage therapists, pharmacists, nutritionists and others as needed per specific patient needs.
Who Provides Palliative Care? Slide15
The palliative care team works in partnership with you own doctor(s) to provide an extra layer of support for you and patient and family.
The team works together to provide additional support for communication, navigation of the health system and symptom management.
What About my Doctor?Slide16
Palliative Care is provided in a variety of settings.
Hospitals
Outpatient clinics
HomeHospiceLong term care facilities (skilled nursing homes)
Where can I receive palliative care?Slide17
1. Presence of a serious illness
:
Cancer
advanced COPD CVA
ESRD
Advanced Heart Disease
Liver Disease
ALS
HIV
Alzheimer’s Dementia
Criteria for Palliative Care ConsultSlide18
Declining ability to complete ADLsWeight loss or considering tube feeding
Metastatic cancer despite treatments
Two or more hospitalizations in 3 months
Difficult to control physical or emotional symptomsPatient, family uncertainty regarding treatmentFamily distress impairing decision making
2. And one or more of the following…Slide19
Most insurance plans, including Medicare and Medical, cover palliative care.
If cost is a concern, a social worker or financial consultant from the palliative care team can assist
in determining your options.
Who Pays for Palliative Care?Slide20
Ask for it!
Tell your doctors, nurses, family and caregivers that you want palliative care.
How Do I Get Palliative Care?Slide21
Get Palliative
Care.Org
ResourcesSlide22
To cure sometimes, to relieve often,
to comfort alwaysSlide23
Questions???