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Palliative Care

(Updated August 15th, 2017)

The World Health Organization defines palliative care as an approach that improves the threatening illness, through the prevention and relief of suffering by means of early identification, impeccable assessment and treatment of pain and other problems, including the  physical, psychosocial and spiritual. Palliative Care:

  • Provides relief from pain and other distressing symptoms
  • Affirms life and regards dying as a normal process
  • Intends neither to hasten or postpone death
  • Integrates the psychological and spiritual aspects of patient care
  • Offers a support system to help the family cope during the patient's illness and in their own bereavement
  • Uses a team approach to address the needs of patients and their families, including bereavement counseling, if indicated
  • Will enhance quality of life, and may also positively influence the course of illness
  • Is applicable early in the course of illness, in conjunction with other therapies that are introduced to prolong life, such as chemotherapy or radiation therapy and include those investigations needed to better understand and manage distressing clinical complications

Palliative care may be considered at any time during the course of a chronic illness. Treatments are not limited with palliative care and can range from conservative to aggressive/curative.

Webinars and Presentations

MiCMRC Educational Webinar

May 24 2017

After viewing recorded webinar Request CE.

Webinar replay video

Presented by

Terri Voepel-Lewis, PhD RN

 

Webinar

Sep 23 2013

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Dr. Rodgers

Webinar

Jul 9 2014

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Peg Nelson, RN-BC, MSN, NP, ACHPN, St. Joseph Hospital Ann Arbor

MiPCT Care Management Webinar

Feb 25 2015

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Peg Nelson, RN, St. Joseph Hospital Oakland

Webinar

Jul 2 2014

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Julie Seitz, RN, St. Joseph Hospital, Ann Arbor

Webinar

Sep 10 2014

To receive a certificate of completion Click Here

Webinar replay video

Presented by

David Weissman, MD

Webinar

Aug 27 2014

To receive a certificate of completion Click Here

Webinar replay video

Presented by

David Weissman, MD

Tools

Tools

Edmonton Symptom Assessment System (ESAS-r)

The ESAS is a tool that was developed to assist in the assessment of nine symptoms that are common in palliative care patients: pain, tiredness, drowsiness, nausea, lack of appetite, depression, anxiety, shortness of breath, and wellbeing. There is also a blank scale for patient-specific symptoms.

Tools

FLACC Behavioral Pain Assessment Scale

Tools

Pain AD Tool

Tool to assist with pain assessment in advanced dementia

Resources

Guides and Policies

Clinical Practice Guidelines for Quality Palliative Care (3rd Ed.)

From the National Consensus Project for Quality Palliative Care (via Hospice and Palliative Nurses Association). This document describes the eight domains for quality palliative care

Guides and Policies

Health Care Guideline, Palliative Care Adults

From ICSI, Institute for Clinical System Improvement. Highlights steps for implementation of palliative care, identification of conditions which may prompt discussion of palliative care, aspects of care (domains of care) and cues for leading discussions

Guides and Policies

The Michigan Physician Guide to End of Life Care

From MDCH, MSMS, MOA, MSMS Foundation, BCBSM & American Physicians Assurance Corp. Topics include Communication, Advance Care Planning, Pain and Symptom Management, Palliative Care, Withdrawing Specific Treatments, Hospice, and Emotional/Spiritual Support.

Website

Website

Center to Advance Palliative Care Provider Directory

Michigan providers from nationwide provider directory

Website

ChiPPS: Children’s Project on Palliative/Hospice Services

National Hospice and Palliative Care Organization's pediatric leadership council