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Palliative Care - Past, Present, and Future
Transcript of Palliative Care - Past, Present, and Future
Future Initiatives Future Updates from Center to Advance Palliative Care (CAPC) National Conference:
All patients and families will know to request palliative care in the setting of serious illness.
All healthcare professionals will have the knowledge and skills to provide palliative care (primary palliative care).
All healthcare institutions will be able to support and deliver high quality palliative care. Approximately 3,300 patient visits Middle Ages to 1950s Life expectancy was 20-50 years.
Hospices for traveller's during crusades.
Churches created wards for poor and sick.
Most deaths occurred at home. 1950s to Today Median age of death is 78 years.
Expectation for a long life normalized.
Exponential growth in hospitals, procedures, medicines, and technologies.
Development of Hospice as we know it today. <50% of physicians aware of their patient's wishes 38% spend >10 days in ICU SUPPORT STUDY
JAMA, 1995 50% had moderate to severe pain 55% of families experience major burden (and PTSD) Developed RN Coordinator position at CRMC.
Permission to screen palliative patients at CRMC.
Strong presence in ICU.
ELNEC training for CRMC nursing staff.
Representation at Carolina's Center regional conference and CAPC national palliative care conference.
Dr. Patel and Anna - Board Certified
Palliative Care Evidence Supports Tip of the Iceberg Additional Developments Quality Improvement in:
Quality of life
Length of life
Family bereavement outcomes
Care matched to patient-centered goals
Cost Reduction in:
Need for hospitalization/ICU Symptom Scores (CRMC) CRMC Cost Avoidance Landmark Study Palliative Care: Central to the Future of Healthcare 5% of the sickest account for 50% of ALL healthcare spending.
US ranks 40th in quality worldwide with >100,000 deaths per year from medical errors.
48 million uninsured.
Healthcare #1 cause of personal bankruptcy and is bankrupting the US. Palliative care proven to reduce costs and improve quality.
>1,700 hospitals with palliative care programs (148% increase in past 10 years).
CAPC focus on growing outpatient palliative care programs (across the healthcare continuum).
Efforts to integrate palliative care education into medical schools.
The Joint Commission Disease Specific Accreditation.
Initiatives by large groups such as BCBS (Highmark) to integrate palliative care into the care delivery of their insured. 2013 Initiatives for PCCC Provide services/clinic hours at Radiation Oncology Patients Symptoms Are Not Controlled While Hospitalized SUPPORT Study in 1980s showed 40-60% of hospitalized patients reported moderate to severe pain.
2011 CAPC Report showed 1 out of 4 hospitalized patients continue to report inadequate treatment of pain and shortness of breath.
1 out of 3 patients report no education on how to treat pain and symptoms following hospitalization. Maris Ivy Hamrick