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Palliative care in long-term care: a system in change
Jennifer Abbey1, K A Froggatt, Deborah Parker
1Professor of Nursing (Aged Care), Centre for Health Research - School of Nursing, Queensland University of Technology, Brisbane, QLD, Australia.
International Journal of Older People Nursing
|October 8, 2010
Summary
Future palliative care for older adults requires significant changes, especially in long-term care settings. These facilities will evolve into future hospices, necessitating a focus on integrated health and social care systems for quality end-of-life support.
Area of Science:
- Gerontology
- Palliative Care
- Health Services Research
Background:
- Palliative care for older adults needs substantial evolution within the next decade.
- Current long-term care (LTC) settings require comprehensive system-level improvements for quality palliative care.
- LTC facilities are projected to become primary sites for end-of-life care, particularly for chronic conditions like dementia.
Purpose of the Study:
- To outline a vision for future palliative care provision in long-term care settings.
- To identify key factors influencing the transferability and sustainability of palliative care services.
- To propose a framework for social planning to meet the needs of an aging population.
Main Methods:
- Analysis of current palliative care provision and its future implications.
- Framework development based on four public policy forces: leadership, learning culture, team development, and information technology.
- Discussion of critical areas for progress including costs, workforce, service planning, and public awareness.
Main Results:
- Long-term care facilities are positioned to become the 'hospices of the future' for older adults with chronic conditions.
- Effective palliative care requires integrated health and social care systems, addressing both formal and informal care.
- Four key forces (leadership, learning culture, team development, IT) are crucial for social planning in palliative care.
Conclusions:
- Substantial planning and implementation are vital to avoid poor outcomes in future palliative care.
- Well-planned services can meet the care expectations of the baby boomer generation.
- The evolution of long-term care into hospice-like settings is appropriate with adequate support and system integration.
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