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Palliative Care: Any Stage, Any Age What Providers Need to Know

Palliative Care: Any Stage, Any Age What Providers Need to Know. May 2013. Outline. Definition Multi-disciplinary team Key aspects When it’s appropriate Criteria for referral How to start Coverage Resources. Palliative Care. R elieves physical and emotional suffering

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Palliative Care: Any Stage, Any Age What Providers Need to Know

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  1. Palliative Care: Any Stage, Any Age What Providers Need to Know May 2013

  2. Outline • Definition • Multi-disciplinary team • Key aspects • When it’s appropriate • Criteria for referral • How to start • Coverage • Resources

  3. Palliative Care • Relieves physical and emotional suffering • Provides tools for a better quality of life • Can be used in combination with curative treatments • Much more than end-of life care. • It’s appropriate at any age, and any stage, or a serious illness whether it’s chronic or acute.

  4. Multi-disciplinary Team • Relationship remains between the primary provider and the patient. It is enhanced through an expanded team of specialists. • Team may include: • Physicians • Nurse practitioners • Psychologists • Therapists • Social workers • Pharmacists • Nutritionists • Spiritual advisors

  5. Key Aspects • Open communication • Care coordination • Pain and symptom management • Social, emotional, and spiritual support • Support of family members and caregivers • Goals of care and advance care planning discussions • Grief education and support

  6. When it’s appropriate • Any stage or any age in a serious illness • It’s never too early to start • Things to know: • Does not depend on whether your patient’s condition can be cured • Improves your patient’s quality of life • Helpful for patients with chronic conditions or advanced diseases • Part of the continuum of comprehensive patient care

  7. Referral Criteria • If your patient has any of the following, consider a referral: • Severe illness • Chronic or severe physical pain • Emotional or spiritual distress • Trouble understanding his/her medical situation • Conflict among family members regarding patient care • Questions about advance directives, durable power of attorney, or living wills • Questions about hospice services • Questions about the Washington State Death with Dignity Law

  8. How to start Find the closest palliative care team to you

  9. Coverage • There are no specific criteria for coverage • There are no pre-set limits for: • Specific medical interventions • Their payments • Palliative care is covered by: • Most insurance plans • Medicare • Medicaid • Financial assistance

  10. Helpful Resources • The Center to Advance Palliative Care: www.capc.org • National Cancer Institute — Palliative Care in Cancer: www.cancer.gov/cancertopics/factsheet/Support/palliative-care • National Consensus Project for Quality Palliative Care — Clinical Guidelines: www.nationalconsensusproject.org/Guidelines_Download2.aspx • To access more resources or to learn more about palliative care efforts in Washington state, go to: www.wacancer.org/TASKFORCES/SURVIVORSHIP.aspx

  11. Questions?

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