About My Health Careers Internship MedBlogs Contact us

Arming Generalists With Primary Palliative Care Skills is a Sustainable Way to Expand Delivery of Palliative Care

by Bidita Debnath on March 11, 2013 at 12:33 PM
Font : A-A+

 Arming Generalists With Primary Palliative Care Skills is a Sustainable Way to Expand Delivery of Palliative Care

The demand for experts in palliative medicine is sure to outstrip the supply, as baby-boomers age and the number of people with serious chronic illnesses continues to rise.

This is according to Timothy E. Quill, M.D., professor of Medicine, Psychiatry and Medical Humanities in the Center for Ethics, Humanities and Palliative Care at the University of Rochester Medical Center.


In a perspective published in today's New England Journal of Medicine, Quill, who serves as president of the American Academy of Hospice and Palliative Medicine (AAHPM), suggests that arming generalists and other specialists with primary palliative care skills is a practical, cost-effective and sustainable way to expand the delivery of palliative care.

Born out of a hospice tradition, palliative care offers relief of pain and symptoms and assistance with medical decision-making to anyone with a serious illness, regardless of prognosis. The goal is to alleviate patient suffering through high-quality pain and symptom management and to provide added support for patients and their families - all while patients are receiving effective medical treatment of their underlying disease.

Quill says that with appropriate education and training, many fundamental aspects of palliative care can be provided by those already caring for a patient. This could avoid adding another team of caregivers to a patient's care or setting the expectation that certain palliative care tasks - such as basic symptom management and psychosocial support - are only the role of a palliative care provider.

"In a coordinated palliative care model, the primary care physician or treating specialist could manage many palliative care problems, initiating a palliative care consultation for more complex situations," Quill said. "When this occurs, the patient may eventually return to the referring specialist or the primary care physician for ongoing palliative care management when that is deemed desirable by everyone involved. This model allows increased access to specialty palliative care consultation and reinforces delivery of primary palliative care by everyone caring for seriously ill patients."

"There has been increasing emphasis on including palliative care as a fundamental part of the care of people with serious illness because it leads to better quality of life, less depression, less health care waste, and maybe even longer survival," said Amy P. Abernethy, M.D., of Duke University School of Medicine, who co-authored the perspective. "Better symptom control, defining and aligning goals of care, and attention to the needs of the family are just some of the fundamental principles of palliative care to be included in the generalist and specialist palliative care toolbox."

Source: Eurekalert

News A-Z
News Category
What's New on Medindia
Health Benefits of Giloy
Breast Cancer Awareness Month 2021 - It's time to RISE
First-Ever Successful Pig-To-Human Kidney Transplantation
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Palliative Care 

Recommended Reading
Palliative Care Reduces Emergency Room Visits in Seniors
According to a recent collaborative study, seniors in long-term care experienced a significant ......
Better Home Care Called For By Palliative Care Experts
Improved home care resources for people with conditions such as dementia are key to providing ......
Expert Roundtable Discusses Opportunities and Challenges of Palliative Care in the ICU
Most people could be forgiven for thinking that palliative care and the ICU do not go together, but ...
Parental Preferences Differ From That of Doctors Regarding Pediatric Cancer and Palliative Care
Parents of children in the palliative stage of cancer favour aggressive chemotherapy over ......
Palliative Care
Palliative care is specialized care for terminally ill patients, aiming to keep patients comfortable...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use