Palliative care reimagined: a needed shift

BMJ Supportive & Palliative Care
Julian Abel, Allan Kellehear

Abstract

Palliative care, since its inception over 60 years ago, has set the standard of how to care for people who are dying. Key features among these standards have been the professional development of clinical specialisms such as palliative medicine and palliative nursing; the essential addition of the multidisciplinary team to these two new specialisms that included social, spiritual and allied health workers-an outgrowth of the recognition that routine work with the dying, their carers, and the bereaved required more than solely clinical skills; and the unique partnership with communities that yielded the volunteer movement within palliative care. Professional, evidence-based symptom management and the importance of supportive care in its widest possible sense were and remain the cornerstones of the modern palliative care approach. However, the majority of people with terminal illnesses do not have access to palliative care teams, whose main focus of care remains patients with cancer. In the context outlined above this paper therefore poses two key questions: how can we provide an equitable level of care for all people irrespective of diagnosis and how can we increase the range and quality of non-medical/nursing supportive care in ...Continue Reading

Citations

Jul 6, 2017·Death Studies·John P RosenbergKerrie Noonan
May 22, 2018·Palliative Medicine·Caroline MoganChristopher Dowrick
Jun 28, 2018·Revista da Escola de Enfermagem da U S P·Keron Dos Santos SanchesPatrícia Tatiani de Oliveira Teixeira
Feb 24, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Catherine Millington-Sanders, Bill Noble
Jan 7, 2018·BMJ Supportive & Palliative Care·Catherine Guilbeau
Sep 22, 2018·Current Opinion in Supportive and Palliative Care·Santiago Rodríguez Corrêa, Julian Abel
Jan 25, 2019·International Journal of Palliative Nursing·Jina M TaubRiana Nolet
Feb 21, 2018·BMC Palliative Care·Jennifer TiemanChristine Sanderson
Mar 1, 2019·Palliative Care·Sandy Whitelaw, David Clark
Feb 14, 2018·Clinical Medicine : Journal of the Royal College of Physicians of London·Julian Abel
Jul 26, 2018·London Journal of Primary Care·Susan Gerry RileyJulian Abel
Jun 10, 2020·BMJ Supportive & Palliative Care·Joshua GallagherNanako Tamiya
Sep 15, 2020·Palliative Care and Social Practice·Julian AbelHelen Kingston
Jun 21, 2020·BMJ Supportive & Palliative Care·Karen A Cook, Kim Bergeron
Aug 1, 2020·International Journal of Environmental Research and Public Health·Viviana Davalos-BatallasRocio de Diego-Cordero
Dec 7, 2018·British Journal of Community Nursing·Brian Nyatanga
Feb 21, 2021·BMJ Supportive & Palliative Care·Jake TobinStephen Barclay
Mar 31, 2021·Journal of Pain and Symptom Management·Fabienne Teike LüthiGian Domenico Borasio
Apr 15, 2021·Health & Social Care in the Community·Wing-Sun Chan, Laura Funk
Jun 3, 2021·Revista brasileira de enfermagem·Cristiani Garrido de AndradeSolange Fátima Geraldo da Costa
Jun 19, 2021·Journal of Health Organization and Management·Alistair HewisonTina Swani
Aug 8, 2021·International Journal of Environmental Research and Public Health·Paolo RossiGianlorenzo Scaccabarozzi

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