Caring for Patients in Need of Palliative Care: Is This a Mission for Acute Care Hospitals? Key Questions for Healthcare Professionals

The prevalence of patients affected by end-stage diseases or advanced cancer is increasing due to an aging population and progression in medicine and public healthcare. The burden of symptoms these people suffer in the last months of life often forces them to seek aid in an emergency department. In...

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Main Authors: Paolo Cotogni, Anna De Luca
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/3/486
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author Paolo Cotogni
Anna De Luca
author_facet Paolo Cotogni
Anna De Luca
author_sort Paolo Cotogni
collection DOAJ
description The prevalence of patients affected by end-stage diseases or advanced cancer is increasing due to an aging population and progression in medicine and public healthcare. The burden of symptoms these people suffer in the last months of life often forces them to seek aid in an emergency department. In developed countries, acute care hospital-based services are often better designed to treat acute clinical conditions than to manage the needs of patients with serious chronic diseases. Thus, the palliative care (PC) population poses very real clinical challenges to healthcare professionals who care for them in hospital settings. The authors have formulated four key questions (who, why, when, and how) to address in order to identify a model for providing the best care for these PC patients. The questions are related to: (1) defining people living with serious chronic diseases; (2) managing the challenge of unplanned hospital admission of these people; (3) identifying PC patients among people with serious chronic diseases; and (4) determining the appropriate work of caring for this inpatient PC population. Clinicians need the knowledge, tools, and services to care for these PC patients, and acute care hospitals should plan the work of caring for these inpatients.
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spelling doaj.art-ac576c220d664dd38dacafb8e71dd1ba2023-11-24T01:22:19ZengMDPI AGHealthcare2227-90322022-03-0110348610.3390/healthcare10030486Caring for Patients in Need of Palliative Care: Is This a Mission for Acute Care Hospitals? Key Questions for Healthcare ProfessionalsPaolo Cotogni0Anna De Luca1Pain Management and Palliative Care, Department of Anesthesia, Intensive Care and Emergency, Molinette Hospital and University of Turin, C.so Bramante 88/90, 10126 Turin, ItalyPain Management and Palliative Care, Department of Anesthesia, Intensive Care and Emergency, Molinette Hospital and University of Turin, C.so Bramante 88/90, 10126 Turin, ItalyThe prevalence of patients affected by end-stage diseases or advanced cancer is increasing due to an aging population and progression in medicine and public healthcare. The burden of symptoms these people suffer in the last months of life often forces them to seek aid in an emergency department. In developed countries, acute care hospital-based services are often better designed to treat acute clinical conditions than to manage the needs of patients with serious chronic diseases. Thus, the palliative care (PC) population poses very real clinical challenges to healthcare professionals who care for them in hospital settings. The authors have formulated four key questions (who, why, when, and how) to address in order to identify a model for providing the best care for these PC patients. The questions are related to: (1) defining people living with serious chronic diseases; (2) managing the challenge of unplanned hospital admission of these people; (3) identifying PC patients among people with serious chronic diseases; and (4) determining the appropriate work of caring for this inpatient PC population. Clinicians need the knowledge, tools, and services to care for these PC patients, and acute care hospitals should plan the work of caring for these inpatients.https://www.mdpi.com/2227-9032/10/3/486palliative careend-of-life careemergency departmentpalliative care teampalliative care unitaging
spellingShingle Paolo Cotogni
Anna De Luca
Caring for Patients in Need of Palliative Care: Is This a Mission for Acute Care Hospitals? Key Questions for Healthcare Professionals
Healthcare
palliative care
end-of-life care
emergency department
palliative care team
palliative care unit
aging
title Caring for Patients in Need of Palliative Care: Is This a Mission for Acute Care Hospitals? Key Questions for Healthcare Professionals
title_full Caring for Patients in Need of Palliative Care: Is This a Mission for Acute Care Hospitals? Key Questions for Healthcare Professionals
title_fullStr Caring for Patients in Need of Palliative Care: Is This a Mission for Acute Care Hospitals? Key Questions for Healthcare Professionals
title_full_unstemmed Caring for Patients in Need of Palliative Care: Is This a Mission for Acute Care Hospitals? Key Questions for Healthcare Professionals
title_short Caring for Patients in Need of Palliative Care: Is This a Mission for Acute Care Hospitals? Key Questions for Healthcare Professionals
title_sort caring for patients in need of palliative care is this a mission for acute care hospitals key questions for healthcare professionals
topic palliative care
end-of-life care
emergency department
palliative care team
palliative care unit
aging
url https://www.mdpi.com/2227-9032/10/3/486
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