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Related Concept Videos

Continuing Care01:25

Continuing Care

1.8K
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 Care01:19

Restorative Care

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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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Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
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Community Based Intervention01:30

Community Based Intervention

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Related Experiment Video

Updated: Jan 5, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

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Palliative Care in a Community-Based Serious-Illness Care Program.

Natalie C Ernecoff1,2, Laura C Hanson2,3, Alexandra L Fox4

  • 1Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Journal of Palliative Medicine
|October 24, 2019
PubMed
Summary

Community-based serious illness care (CBSC) effectively provided palliative services, including symptom management and advance care planning, comparable to other home-based programs. However, not all palliative care needs were fully addressed.

Keywords:
home-basedmodels of care deliverysupportive care

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Area of Science:

  • Palliative Care
  • Serious Illness Care
  • Health Services Research

Background:

  • Community-based serious illness care (CBSC) is an emerging model.
  • Its capacity to meet palliative care needs, especially for patients nearing death, requires evaluation.
  • Understanding the scope of palliative services within CBSC is crucial for optimizing patient care.

Purpose of the Study:

  • To assess the palliative care services offered by a specific CBSC program.
  • To identify the extent to which palliative care needs were met for patients in the program.
  • To compare services received by survivors versus decedents within the CBSC model.

Main Methods:

  • Retrospective review of patient charts within a CBSC program in central North Carolina.
  • Descriptive statistics were used to analyze palliative care needs and services.
  • Data included symptom management, psychosocial support, and advance care planning (ACP) for 159 patients over 18 months.

Main Results:

  • The study included 159 patients (average age 70); 31% died during the 18-month period.
  • Commonly treated symptoms included pain, anxiety, and constipation; 82% received psychosocial support.
  • Decedents were more likely than survivors to have advance care planning (34% vs. 18%) and a comfort goal (40% vs. 12%).

Conclusions:

  • The CBSC program delivered palliative care services comparable to existing home-based palliative care models.
  • While not addressing all palliative care domains comprehensively, the program successfully provided symptom management, psychosocial support, and advance care planning.
  • Further research may be needed to address gaps in spiritual care and other less frequently provided services.