{"id":3000,"date":"2018-06-20T11:52:44","date_gmt":"2018-06-20T05:52:44","guid":{"rendered":"http:\/\/bdpallcare.com\/new\/?page_id=3000"},"modified":"2018-06-20T12:38:53","modified_gmt":"2018-06-20T06:38:53","slug":"3-forms-of-palliative-care","status":"publish","type":"page","link":"http:\/\/bdpallcare.com\/new\/3-forms-of-palliative-care\/","title":{"rendered":"3 forms of Palliative Care"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3000\" class=\"elementor elementor-3000 elementor-bc-flex-widget\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b2c63b9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b2c63b9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e53719a\" data-id=\"e53719a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9a760b0 elementor-widget elementor-widget-text-editor\" data-id=\"9a760b0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>A Palliative Approach<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-276895a elementor-widget elementor-widget-text-editor\" data-id=\"276895a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><span style=\"color: #000000;\">Improves quality of life for residents with life-limiting illnesses and their families by reducing suffering through early identification, assessment and treatment of pain, physical, cultural, psychological, social and spiritual needs.<\/span><\/li><li><span style=\"color: #000000;\">Is not limited to the last days or weeks of a resident\u2019s life.<\/span><\/li><\/ul><div><p class=\"MsoNormal\"><span style=\"color: #000000;\"><b>When should a palliative approach commence?<\/b><\/span><\/p><p class=\"MsoNormal\"><span style=\"color: #000000;\">1. If the resident has one or more advanced life-limiting illnesses.<\/span><\/p><p class=\"MsoNormal\"><span style=\"color: #000000;\">2. If the resident\u2019s quality of life is at risk.<\/span><\/p><p class=\"MsoNormal\"><span style=\"color: #000000;\">3. If treatment goals are \u2018comfort care focused\u2019 rather than \u2018cure focused\u2019.<\/span><\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c9820c8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c9820c8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e56ed9a\" data-id=\"e56ed9a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6b05506 elementor-widget elementor-widget-text-editor\" data-id=\"6b05506\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div>Notes:<\/div><div>\u00a0<\/div><ol><li>A palliative approach:<\/li><\/ol><ul><li><span style=\"color: #000000;\">Offers care and support for residents who are experiencing advanced life-limiting illnesses and their families.<\/span><\/li><li><span style=\"color: #000000;\">Improves the resident\u2019s level of comfort and function by addressing physical, psychological, cultural, social and spiritual needs.<\/span><\/li><li><span style=\"color: #000000;\">Is not limited to the last days or weeks of a resident\u2019s life.<\/span><\/li><li><span style=\"color: #000000;\">Requires care staff to have a positive and open attitude towards death and dying.<\/span><\/li><\/ul><ol start=\"2\"><li><span style=\"color: #000000;\">A palliative approach to care should be considered if the following are present:<\/span><\/li><\/ol><ul><li><span style=\"color: #000000;\">If the resident has one or more life-limiting illnesses \u2013 e.g. &#8211; Heart failure &#8211; Respiratory diseases (e.g. chronic obstructive pulmonary disease) &#8211; Neurological diseases (e.g. Parkinson\u2019s disease; Alzheimer\u2019s disease and other forms of dementia) &#8211; Cancer-related illnesses<\/span><\/li><li><span style=\"color: #000000;\">If the resident\u2019s quality of life is at risk due to physical\/psychosocial issues associated with an advanced life-limiting illness \u2013 e.g. &#8211; Physical (e.g. fatigue; weakness; loss of appetite; weight loss; loss of mobility; pain; breathlessness; confusion\/memory loss) &#8211; Psychological (e.g. anxiety; sadness; grief; depression)<\/span><\/li><li><span style=\"color: #000000;\">If treatment goals are \u2018comfort care focused\u2019 rather than \u2018cure focused\u2019. Identifying and responding to a resident\u2019s goals of care requires ongoing and open communication between the resident, the resident\u2019s family and substitute decision maker, and the palliative care team.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6597069 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6597069\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-61df26a\" data-id=\"61df26a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0a11bd0 elementor-widget elementor-widget-spacer\" data-id=\"0a11bd0\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dcb056c elementor-widget elementor-widget-text-editor\" data-id=\"dcb056c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Specialized Palliative Service Provision<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-317abe9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"317abe9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-600f596\" data-id=\"600f596\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-09aa3a5 elementor-widget elementor-widget-text-editor\" data-id=\"09aa3a5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ol><li><span style=\"color: #000000;\">Some residents may experience complex problems as their condition advances \u2013 e.g.<\/span><\/li><\/ol><ul><li><span style=\"color: #000000;\">Complex physical symptoms<\/span><\/li><li><span style=\"color: #000000;\">Complex psychological distress<\/span><\/li><li><span style=\"color: #000000;\">Complex ethical dilemmas<\/span><\/li><li><span style=\"color: #000000;\">Complex family issues<\/span><\/li><\/ul><ol start=\"2\"><li><span style=\"color: #000000;\">Specialised palliative service provision:<\/span><\/li><\/ol><ul><li><span style=\"color: #000000;\">Involves a team of specialist palliative care doctors, nurses and allied health professionals.<\/span><\/li><li><span style=\"color: #000000;\">Provides assistance and support to the care team when a resident is experiencing complex problems.<\/span><\/li><\/ul><ol start=\"3\"><li><span style=\"color: #000000;\">Specialist palliative care teams do not usually take over the care of the resident \u2013 but rather provide expert advice on complex issues and support to GPs and aged care teams.<\/span><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-49d955d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"49d955d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-730bc15\" data-id=\"730bc15\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1870617 elementor-widget elementor-widget-spacer\" data-id=\"1870617\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-82f5b19 elementor-widget elementor-widget-text-editor\" data-id=\"82f5b19\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>End of Life (Terminal) Care<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-acd2ff1 elementor-widget elementor-widget-text-editor\" data-id=\"acd2ff1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ol><li><span style=\"color: #000000;\">End of life (terminal) care is appropriate when a resident is experiencing signs\/symptoms indicating that they may be in the last days or week of life (i.e. the terminal phase of life). These signs and symptoms include:<\/span><\/li><\/ol><ul><li><span style=\"color: #000000;\">Experiencing rapid day-to-day deterioration that is not reversible.<\/span><\/li><li><span style=\"color: #000000;\">Requiring more frequent interventions.<\/span><\/li><li><span style=\"color: #000000;\">Becoming semi-conscious, with lapses into unconsciousness.<\/span><\/li><li><span style=\"color: #000000;\">Increasing loss of ability to swallow.<\/span><\/li><li><span style=\"color: #000000;\">Refusing or unable to take food, fluids or oral medications.<\/span><\/li><li><span style=\"color: #000000;\">Irreversible weight loss.<\/span><\/li><li><span style=\"color: #000000;\">An acute event has occurred, requiring revision of treatment goals.<\/span><\/li><li><span style=\"color: #000000;\">Profound weakness.<\/span><\/li><li><span style=\"color: #000000;\">Changes in breathing patterns.<\/span><\/li><\/ul><ol start=\"2\"><li><span style=\"color: #000000;\">End of life (terminal) care may require decisions about a resident\u2019s care to be reviewed more frequently.<\/span><\/li><li><span style=\"color: #000000;\">End of life (terminal) care involves goals more sharply focused on a resident\u2019s physical, emotional and spiritual comfort needs and support for the resident\u2019s family<\/span><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fe017e4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fe017e4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-490f87b\" data-id=\"490f87b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3f0f1bf elementor-widget elementor-widget-text-editor\" data-id=\"3f0f1bf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"color: #000000;\">End of life (terminal) care is urgent care.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38231b7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"38231b7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-23949a5\" data-id=\"23949a5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5a98d88 elementor-widget elementor-widget-spacer\" data-id=\"5a98d88\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-513fee4 elementor-widget elementor-widget-text-editor\" data-id=\"513fee4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #808080;\"><u><b>Reference<\/b><\/u><\/span><\/p><p><span style=\"color: #808080;\">CareSearch 2018. &#8216;Introduction to a Palliative Approach: Educational Flipchart&#8217;, viewed 20 June 2018, &lt;https:\/\/www.caresearch.com.au\/Caresearch\/Portals\/0\/PA-Tookit\/Educational_Flipchart_Introduction_to_a_Palliative_Approach_1.pdf&gt;<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>A Palliative Approach Improves quality of life for residents with life-limiting illnesses and their families by reducing suffering through early identification, assessment and treatment of pain, physical, cultural, psychological, social and spiritual needs. Is not limited to the last days or weeks of a resident\u2019s life. When should a palliative approach commence? 1. If the &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"http:\/\/bdpallcare.com\/new\/3-forms-of-palliative-care\/\"> <span class=\"screen-reader-text\">3 forms of Palliative Care<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3000","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/pages\/3000","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/comments?post=3000"}],"version-history":[{"count":15,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/pages\/3000\/revisions"}],"predecessor-version":[{"id":3016,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/pages\/3000\/revisions\/3016"}],"wp:attachment":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/media?parent=3000"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}