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Related Concept Videos

Continuing Care01:25

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Palliative Workforce Development and a Regional Training Program.

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Area of Science:

  • Healthcare Management
  • Palliative Care Medicine
  • Health Services Research

Background:

  • The demand for palliative care (PC) services is increasing due to a growing population of seriously ill patients.
  • Understanding the growth, composition, and support of hospital-based palliative care teams is crucial for effective resource allocation.
  • Regional training programs aim to enhance palliative care delivery within healthcare systems.

Purpose of the Study:

  • To evaluate the growth and workforce composition of hospital-based palliative care teams.
  • To identify the sources of financial support for these teams.
  • To assess the impact of interdisciplinary team composition on patient care outcomes.

Main Methods:

  • An electronic survey was administered to program directors and administrators at 16 Chicago-area hospitals participating in a regional PC training program.
  • Data collected included hospital characteristics, PC staffing (full-time equivalents), programs offered, service utilization, and financial support for fiscal years 2012 and 2014.
  • Statistical analysis compared workforce data and patient disposition between the two fiscal years.

Main Results:

  • The median number of PC consultations significantly increased from 345 in 2012 to 840 in 2014.
  • Overall palliative care team size saw a modest increase, with median full-time equivalents rising from 3.2 to 3.3.
  • Hospitals with palliative medicine teams including social workers and advanced practice nurses demonstrated a higher rate of discharge to hospice compared to deaths in acute care (p < .0001).

Conclusions:

  • The findings indicate substantial growth in palliative care service utilization and a slight increase in team size.
  • The presence of social workers and advanced practice nurses is associated with improved patient discharge planning towards hospice.
  • Addressing the shortage of palliative care specialists requires increased emphasis on training generalist clinicians and hiring adequate workforce for seriously ill patients.