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Palliative care in hospitals.

Diane E Meier1

  • 1Hertzberg Palliative Care Institute, Center to Advance Palliative Care, Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New York 10029, USA. diane.meier@mssm.edu

Journal of Hospital Medicine
|January 16, 2007
PubMed
Summary

Palliative care enhances quality of life for patients with serious illnesses by managing symptoms and supporting families. This approach integrates with curative treatments, expanding beyond traditional hospice services.

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Area of Science:

  • Medical Specialties
  • Oncology
  • Geriatrics

Background:

  • Palliative care focuses on relieving suffering and improving quality of life for patients with serious illnesses.
  • It addresses physical, psychological, and practical burdens, integrating with curative and life-prolonging treatments.
  • Hospital palliative care has seen rapid growth due to increasing patient needs and interest in managing chronic, life-threatening illnesses.

Purpose of the Study:

  • To review the drivers behind the expansion of palliative care services.
  • To describe the clinical aspects and service models of palliative care.
  • To define the relationship between hospital palliative care and hospice care.

Main Methods:

  • Review of clinical, educational, demographic, and financial factors influencing palliative care growth.

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  • Description of palliative care's clinical components and various service delivery models.
  • Summary of existing literature on palliative care outcomes.

    • Main Results:

    • Palliative care services are expanding beyond hospice, driven by the needs of chronically ill patients.
    • Effective palliative care involves symptom management, communication, decision support, and care coordination.
    • Hospital-based palliative care models are diverse and growing.

    Conclusions:

    • Palliative care is a crucial component of comprehensive medical care for serious illnesses.
    • The expansion of palliative care addresses unmet needs for symptom management and quality of life support.
    • Resources are available for clinicians to enhance their palliative care knowledge and skills.