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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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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Related Experiment Video

Updated: Apr 22, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Using Telehealth in End-of-Life Palliative Care: A Multimethod Randomized Controlled Trial.

Jarl Voss Andersen Sigaard1,2, Helle Spindler3, Elisabet Dortea Ragnvaldsdóttir Joensen1

  • 1Department of Health Science and Technology, Laboratory for Welfare Technology-Digital Health & Rehabilitation, Exercise Tech, Aalborg University, Aalborg, Denmark.

Journal of Palliative Medicine
|April 21, 2026
PubMed
Summary

Telepalliative care (TPC) did not improve quality of life or security in palliative care patients. However, TPC helped maintain perceived health, offering a valuable option for those with access barriers.

Keywords:
end of lifehome-based palliative carepalliative caretelehealth

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Area of Science:

  • Palliative Care Research
  • Health Services Research
  • Digital Health Interventions

Background:

  • Growing demand for palliative care in Europe necessitates innovative service delivery models.
  • Telepalliative care (TPC) has emerged as a practice over two decades to improve patient outcomes.
  • The Telepal program was designed to deliver personalized palliative care, enhancing health-related quality of life (HRQoL) and access to professionals.

Purpose of the Study:

  • To evaluate the impact of the Telepal program on HRQoL, symptom burden, perceived health, and sense of security in patients receiving specialized palliative care (SPC).
  • To test the hypothesis that Telepal improves HRQoL and sense of security compared to standard SPC.

Main Methods:

  • A randomized controlled trial involving 182 patients referred to SPC in Denmark.
  • Intervention group received routine SPC plus TPC; control group received routine SPC.
  • HRQoL, symptom burden, perceived health, and sense of security were assessed using validated questionnaires and scales over 26 weeks.

Main Results:

  • Both groups experienced worsening HRQoL, symptom burden, and sense of security over time, with no significant differences between groups.
  • The Telepal group reported consistently higher pain levels.
  • Perceived health declined in the control group but remained stable in the Telepal group.

Conclusions:

  • The Telepal program did not prevent declines in HRQoL or sense of security.
  • Telepalliative care demonstrated a stabilizing effect on perceived health.
  • Telepal may function as a supplementary palliative care service, especially for patients facing challenges with in-person consultations.