State-wide telephone support: enhanced palliative care service delivery

2021 ◽  
pp. bmjspcare-2021-003264
Author(s):  
Brian Le ◽  
Evelien Rosens ◽  
Esther McMillan-Drendel ◽  
David Marco ◽  
Theresa Williamson ◽  
...  
Keyword(s):  
Palliative Care ◽  
Service Delivery ◽  
Care Service ◽  
Palliative Care Service ◽  
Telephone Support

scholarly journals Adaptations to palliative home care in India in a COVID pandemic: An experiential narrative

2021 ◽  
Vol 73 ◽  
pp. 48-51
Author(s):  
Sunil Rameshchandra Dhiliwal ◽  
Ashish Gulia ◽  
Naveen Salins
Keyword(s):  
Palliative Care ◽  
Service Delivery ◽  
Care Service ◽  
Palliative Care Service ◽  
Personal Protection ◽  
Care Needs ◽  
Personal Protection Equipment ◽  
Complex Needs ◽  
Care Access ◽  
Home Based

India is in the midst of a fierce pandemic with a rapid surge of cases and the health-care system in a quandary. Care of patients with life-limiting illness needing palliative care has been compromised due to limitations in palliative care access and a paradigm shift in the hospital toward care of COVID. Therefore, it is imperative to augment the home-based services so that patients continue to remain at home with their care needs met so that their access to hospitals is restricted for acute and complex needs. To overcome practical aspects of home-based care service delivery, several adaptations were needed. An urban standalone home-based palliative care service provider made adaptations to personal protection, personal protection equipment, and team self-care that facilitated an effective service delivery and satisfaction.

scholarly journals PROPOSAL OF A COMPREHENSIVE MODEL FOR PALLIATIVE CARE SERVICE DELIVERY IN THE REPUBLIC OF SERBIA

2014 ◽  
Vol 4 (Suppl 1) ◽  
pp. A44.3-A45
Author(s):  
Julia Downing ◽  
Jo Baskott ◽  
Erna Haraldsdottir ◽  
Nina Lukic ◽  
Natasa Milicevic ◽  
...  
Keyword(s):  
Palliative Care ◽  
Service Delivery ◽  
Care Service ◽  
Palliative Care Service ◽  
Comprehensive Model ◽  
The Republic

scholarly journals Enhancing palliative care delivery in a regional community in Australia

2006 ◽  
Vol 30 (3) ◽  
pp. 370 ◽  
Author(s):  
Jane L Phillips ◽  
Patricia M Davidson ◽  
Debra Jackson ◽  
Linda Kristjanson ◽  
Margaret L Bennett ◽  
...  
Keyword(s):  
Palliative Care ◽  
Service Delivery ◽  
Local Community ◽  
Care Delivery ◽  
Care Service ◽  
Palliative Care Service ◽  
Service Planning ◽  
North Coast ◽  
Care Needs ◽  
Integrated Network

Although access to palliative care is a fundamental right for people in Australia and is endorsed by government policy, there is often limited access to specialist palliative care services in regional, rural and remote areas. This article appraises the evidence pertaining to palliative care service delivery to inform a sustainable model of palliative care that meets the needs of a regional population on the mid-north coast of New South Wales. Expert consultation and an eclectic literature review were undertaken to develop a model of palliative care service delivery appropriate to the needs of the target population and resources of the local community. On the basis of this review, a local palliative care system that is based on a population-based approach to service planning and delivery, with formalised integrated network agreements and role delineation between specialist and generalist providers, has the greatest potential to meet the palliative care needs of this regional coastal community.

scholarly journals Ensuring caregivers are part of palliative care service delivery

2018 ◽  
Vol 16 (5) ◽  
pp. 639-640 ◽  
Author(s):  
David C. Currow ◽  
Miriam J. Johnson ◽  
Magnus Ekström
Keyword(s):  
Palliative Care ◽  
Service Delivery ◽  
Care Service ◽  
Palliative Care Service

scholarly journals 77 National Audit of Care At the End of Life (NACEL)—Round Two Findings

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
D Hibbert
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Care Service ◽  
Palliative Care Service ◽  
Care Plan ◽  
Specialist Palliative Care ◽  
Experience Of Care ◽  
Outcomes Of Care ◽  
Specialist Palliative Care Service ◽  
The Right

Abstract   NACEL is a national comparative audit of the quality and outcomes of care experienced by the dying person and those important to them during the final admission in acute and community hospitals in England and Wales. Mental health inpatient providers participated in the first round but excluded from the second round. NACEL round two, undertaken during 2019/20, comprised: Data was collected between June and October 2019. 175 trusts in England and 8 Welsh organisations took part in at least one element of NACEL (97% of eligible organisations). Key findings include Recognising the possibility of imminent death: The possibility that the patient may die was documented in 88% of cases. The median time from recognition of dying to death was 41 hours (36 hours in the first round). Individual plan of care: 71% of patients, where it had been recognised that the patient was dying (Category 1 deaths), had an individualised end of life care plan. Of the patients who did not have an individualised plan of care, in 45% of these cases, the time from recognition of dying to death was more than 24 hours. Families’ and others’ experience of care: 80% of Quality Survey respondents rated the quality of care delivered to the patient as outstanding/excellent/good and 75% rated the care provided to families/others as outstanding/excellent/good. However, one-fifth of responses reported that the families’/others’ needs were not asked about. Individual plan of care: 80% of Quality Survey respondents believed that hospital was the “right” place to die; however, 20% reported there was a lack of peace and privacy. Workforce Most hospitals (99%) have access to a specialist palliative care service. 36% of hospitals have a face-to-face specialist palliative care service (doctor and/or nurse) available 8 hours a day, 7 days a week. NACEL round three will start in 2021.

scholarly journals The association between ethnicity, socioeconomic deprivation and receipt of hospital-based palliative care for people with Covid-19: A dual centre service evaluation

2021 ◽  
pp. 026921632110229
Author(s):  
Sabrina Bajwah ◽  
Polly Edmonds ◽  
Emel Yorganci ◽  
Rosemary Chester ◽  
Kirsty Russell ◽  
...  
Keyword(s):  
Palliative Care ◽  
Ethnic Minority ◽  
Primary Outcome ◽  
Minority Groups ◽  
Care Service ◽  
Palliative Care Service ◽  
Service Evaluation ◽  
Socioeconomic Deprivation ◽  
Black British ◽  
Multivariable Regression

Background: People from ethnic minority groups and deprived socioeconomic backgrounds have worse outcomes from COVID-19. Aim: To examine associations between ethnicity and deprivation with timing of palliative care referral for inpatients with COVID-19. Design: Service evaluation of consecutive patients with COVID-19 referred to palliative care. Sociodemographic (including age, sex, Index of Multiple Deprivation, ethnicity coded as White/non-White) and clinical variables were described. The primary outcome was timing of referral to palliative care. Associations between ethnicity and socioeconomic deprivation with the primary outcome were explored using multivariable regression. Setting/participants: Patients with COVID-19 referred to a hospital palliative care service across two London hospitals February–May 2020. Results: A total of 334 patients were included. 119 (36%) were from a non-White ethnic group; most commonly Black British (77, 23%) and Asian British (26, 8%). A longer time between admission and palliative care referral was associated with male gender (IRR 1.23, 95% CI 1.14–1.34) and lower levels of socioeconomic deprivation (IRR 1.61, 95% CI 1.36–1.90) but not ethnicity (IRR = 0.96, 95% CI 0.87–1.06). Conclusions: This large service evaluation showed no evidence that patients from ethnic minority or more deprived socioeconomic groups had longer time to palliative care referral. Ongoing data monitoring is essential for equitable service delivery.

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