SOC 0477 Lecture Notes - Lecture 19: Palliative Care, Speech-Language Pathology, Patient Protection And Affordable Care Act
Document Summary
Hospice & palliative care: the un-medicalization of death & dying. Guest speaker: michele klein-fedyshin, health sciences library system. Illness/dying trajectories: sudden death, unexpected cause, steady decline, short terminal phase, slow decline, periodic crises, death, lingering, expected death (frailty) Barriers to quality care at the end of life: failure to acknowledge the limits of medicine, lack of training for healthcare providers, hospice/palliative care services are poorly understood, rules & regulations, denial of death. Hospice: definition: delivery system that provides palliative care for patients w/ limited life expectancy who require comprehensive medical, psychosocial, & spiritual support. Palliative care: definition: philosophy of care and organized structure that improves quality of life for patients & families facing life-threatening illness. 4 dimensions of care for quality of life: physical, psychological, social, spiritual. Palliati(cid:448)e (cid:272)are (cid:272)o(cid:374)sultatio(cid:374)s address : pain control, symptom management, psychological concerns, goals of care, prognostication (prediction), if requested.