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Person-Centered Care Planning: Palliative Symptom Management in Multiple Chronic Conditions
Kim Kuebler1, Julian Gallegos2, Eduardo Bruera3
1Multiple Chronic Conditions Resource Center Brunswick Georgia USA.
Learning Health Systems
|July 28, 2026
Summary
Integrating palliative care symptom management into primary care for multiple chronic conditions (MCC) can reduce hospitalizations and improve quality of life. This approach is feasible with proper training and standardized tools.
Area of Science:
- Palliative Care
- Primary Care Medicine
- Health Services Research
Background:
- Multiple chronic conditions (MCC) significantly increase symptom burden and healthcare resource utilization.
- Current primary care settings underutilize person-centered palliative symptom management strategies.
Purpose of the Study:
- To propose a primary-care-implementable framework for managing symptoms in patients with MCC.
- To integrate palliative care principles into routine primary care.
Main Methods:
- A narrative synthesis of policy recommendations and practice literature was conducted.
- A framework incorporating screening, triage, and management using the Edmonton Symptom Assessment System was developed.
Main Results:
- Early, protocolized symptom screening and management in MCC patients demonstrated reduced exacerbations and hospitalizations.
- This approach led to improvements in physical functioning and overall quality of life.
- The framework is feasible for primary care teams with appropriate training.
Conclusions:
- Palliative care skills should be integrated earlier in primary care settings.
- Adoption of standardized tools like the Edmonton Symptom Assessment System is recommended.
- Measuring quality outcomes is crucial for evaluating the effectiveness of this integrated approach.
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