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Continuing Care01:25

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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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Palliative Care in Rural Communities.

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  • 1Tracy Fasolino is a professor and Distinguished Palliative Care Leader at the Clemson University School of Nursing in Clemson, SC, where Kathleen Valentine is a professor. Megan E. Mayfield is a doctoral student at Emory University in Atlanta. William E. Rosa is assistant attending behavioral scientist, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York City. Anne Koci is professor emerita of nursing at Texas Woman's University in Denton. Contact author: Tracy Fasolino, tfasoli@clemson.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.

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Rural communities face health disparities due to limited resources. The CARE framework and nursing advocacy are crucial for improving palliative care access and equity in these underserved populations.

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Area of Science:

  • Health Services Research
  • Rural Health
  • Palliative Care

Background:

  • Rural communities experience significant health disparities, including limited access to essential services like healthcare, nutritious food, and clean water.
  • These challenges contribute to persistent inequities in health outcomes for rural populations.
  • Existing palliative care models often struggle to meet the unique needs of rural settings.

Purpose of the Study:

  • To introduce the CARE (Complex, Access, Resourceful, Extraordinary) framework to understand the multifaceted nature of rurality.
  • To inform the development and implementation of effective palliative care delivery models in rural areas.
  • To identify strategies for overcoming barriers to palliative care access in rural communities.

Main Methods:

  • Literature review of existing palliative care models and rural health challenges.
  • Presentation of the CARE framework to analyze rural contexts.
  • Discussion of strategies to address access gaps and enhance provider capacity.

Main Results:

  • The CARE framework highlights the complex, resourceful, and extraordinary aspects of rural environments, alongside their challenges.
  • Various palliative care models can address access gaps and increase specialty palliative care provision.
  • Workforce shortages and reimbursement issues remain significant barriers to service expansion.

Conclusions:

  • Nurses are vital in advocating for equitable palliative care in rural settings.
  • Interdisciplinary collaboration and community partnerships are essential for improving rural palliative care.
  • Addressing systemic barriers is necessary for inclusive and accessible palliative care for all rural residents.