Emerging Quality Improvement Concepts to Enhance the Patient and Family Experience in Hospice and Palliative Care

Journal Title: Palliative Medicine & Hospice Care – Open Journal - Year 2017, Vol 3, Issue 2

Abstract

Most quality improvement in end-of-life care has been related to symptom management, goals of care, cost-effectiveness, and adhering to patient preferences. The patient and family’s experience of care, the environment of care, support for surrogate decision-makers, and public engagement related to end-of-life care receive less attention. We describe three new quality improvement models to improve the patient and family experience of care: 1) involvement of the primary care providers (PCP’s) throughout the patient’s disease course, 2) modeling of decision-making behavior for surrogates using narratives, and 3) increasing engagement with end-of-life care among the public at large. We advocate for the continued development and evaluation of new care models to improve the quality of end-of-life care and the widespread sharing of best practices.

Authors and Affiliations

James S. Powers

Keywords

Related Articles

Quality of Care for Older Patients With Non-Cancer Diagnoses Under the End-of-Life Care Program

Background: End-of-life (EOL) care is an important part of geriatric medicine in view of rapidly ageing populations in the world. Aim: We aimed to evaluate the quality of care for older patients with non-cancer terminal...

Cultural Challenges in Implementing Palliative Services in Lebanon

Palliative Care (PC) is a relatively new discipline in Lebanon with some progress being made in recent years. Based on our clinical experience, we describe and discuss the cultural aspects of palliative care, the attitud...

Integrating Complementary Medicine in Palliative Care: A Call for an Inter-Disciplinary Collaboration

The interplay between complementary medicine and palliative care, both of which emphasize a patient-centered approach in order to improve quality of life-related concerns, is extremely important in the oncology setting....

Morphine Mouthwash in Oral Mucositis: A Mini Review

Oral mucositis is a frequent adverse effect of chemotherapy and radiation therapy in cancer patients. The mucositis impacts overall quality of life (QoL) by producing pain with variable intensity leading to difficulty in...

Transforming End-of-Life Care

Currently, hospice care which focuses on caring for a terminally ill person delivers holistic, supportive, interdisciplinary, and patient-centered management. There have been numerous efforts to establish hospice care fo...

Download PDF file
  • EP ID EP549285
  • DOI 10.17140/PMHCOJ-3-123
  • Views 147
  • Downloads 0

How To Cite

James S. Powers (2017). Emerging Quality Improvement Concepts to Enhance the Patient and Family Experience in Hospice and Palliative Care. Palliative Medicine & Hospice Care – Open Journal, 3(2), 22-25. https://europub.co.uk/articles/-A-549285