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The development of a palliative care program.

J Didich, J K Weick

    Cleveland Clinic Journal of Medicine
    |November 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Terminal cancer patients have unmet palliative care needs. A pilot project found that a dedicated palliative care team, including a physician, nurse, and social worker, could meet these needs and comply with hospice standards.

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    Area of Science:

    • Oncology
    • Palliative Medicine
    • Healthcare Management

    Background:

    • Palliative care focuses on patient and family comfort and quality of life during terminal illness.
    • Existing healthcare services may not adequately address the comprehensive needs of terminal cancer patients.
    • The Joint Commission on Accreditation of Hospitals sets standards for hospice care.

    Purpose of the Study:

    • To assess the palliative care needs of terminal cancer patients.
    • To evaluate the effectiveness of a multidisciplinary palliative care team in meeting these needs.
    • To determine compliance with hospice standards during a pilot project.

    Main Methods:

    • A three-month pilot project was conducted at the Cleveland Clinic.
    • A team approach involving a physician, nurse, and social worker was utilized.

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  • Patient surveys were used to gather data on perceived unmet needs.

    • Main Results:

    • Data indicated significant unmet palliative care needs among terminal cancer patients surveyed.
    • The multidisciplinary team's approach was found to be in compliance with Joint Commission hospice standards.
    • Patient perceptions suggest existing services were insufficient to meet their needs.

    Conclusions:

    • A dedicated palliative care team is essential for addressing the complex needs of terminal cancer patients.
    • Multidisciplinary palliative care can improve patient comfort and quality of life.
    • Compliance with established hospice standards can be achieved through structured palliative care interventions.