MEDRADSC 3DH3 Lecture Notes - Lecture 6: Palliative Care, Radiation Therapy, Chemotherapy
4 Jul 2018
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WHO definition of palliative care
Palliative Care is an approach that improves the quality of life of patients and their families
facing the problems associated with life threatening illness , through the prevention and relief of
suffering by means of early identification and impeccable assessment and treatment of pain and
other problems, physical, psychosocial and spiritual.
provides relief from pain and other distressing symptoms;
affirms life and regards dying as a normal process;
intends neither to hasten or postpone death;
integrates the psychological and spiritual aspects of patient care;
offers a support system to help patients live as actively as possible until death;
offers a support system to help the family cope during the patients illness and in their own
bereavement
uses a team approach to address the needs of patients and their families including bereavement
counselling, if indicated;
will enhance quality of life, and may also positively influence the course of illness;
is applicable early in the course of illness, in conjunction with other therapies that are intended
to prolong life, such as chemotherapy or radiation therapy, and includes those investigations
needed to better understand and manage distressing clinical complications.
Collaborative practice
An interprofessional process for communication and decision making that enables the separate
and shared knowledge and skills of the care providers to synergistically influence the client/
patient care being provided.
Model: many different conceptual models that are used to describe collaborative practice
oDeveloped in the early 1990s based on our observations of practice, strengthened by
research with NPs and FPs and with experience as educators and facilitators of
teamwork
oKey: patient/client centered
Comprehensive care: context community/ PHC practice sites
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o
Health providers, in partnership with the patient/ family and with one another,
use their separate and shared knowledge and skills to deliver comprehensive
care based on the context of their practice setting.
10 steps to collaborative practice:
oDetermine a common purpose for your team work.
The purpose of interprofessional collaboration in P/EOL care is to have more
efficient/more effective care
A purpose that is mutually acceptable to all parties involved in the collaborative
practice forms the groundwork for collaboration.—work together well = provide
better care
Declaring and embracing a shared goal that reflects the uniqueness of your
practice gives common direction and a framework for evaluation.
Remembering “why we’re doing this” helps providers to overcome barriers and
stay on track
oEnsure a common understanding of collaboration.
Collaboration is complex, not innate, not routinely taught, need a common
language/understanding
oAssess your current interaction using the Spectrum for Collaboration and the Essential
Elements for effective collaboration.
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
An interprofessional process for communication and decision making that enables the separate and shared knowledge and skills of the care providers to synergistically influence the client/ patient care being provided. Comprehensive care: context community/ phc practice sites o. Health providers, in partnership with the patient/ family and with one another, use their separate and shared knowledge and skills to deliver comprehensive care based on the context of their practice setting. 10 steps to collaborative practice: determine a common purpose for your team work. The purpose of interprofessional collaboration in p/eol care is to have more efficient/more effective care. A purpose that is mutually acceptable to all parties involved in the collaborative practice forms the groundwork for collaboration. work together well = provide better care. Declaring and embracing a shared goal that reflects the uniqueness of your practice gives common direction and a framework for evaluation.
