Palliative Adult Network Guidelines (Fourth Edition)

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In 2014, the first ever global resolution on palliative care, World Health Assembly resolution WHA67.19, called upon WHO and Member States to improve access to palliative care as a core component of health systems, with an emphasis on primary health care and community/home-based care. WHO’s work to strengthen palliative care focuses on the following areas: Kain M, Bennett H, Yi M, Robinson B, James M (August 2020). "30-day mortality following palliative radiotherapy". Journal of Medical Imaging and Radiation Oncology. 64 (4): 570–579. doi: 10.1111/1754-9485.13073. PMID 32592442. S2CID 220119083. encouraging adequate resources for palliative care programmes and research, especially in resource-limited countries; and NHS healthcare is free for UK residents. Many parts of palliative care are offered through the NHS, such as support from your GP or other health and social care professionals. Similarly, a 2018 meta-analysis found that people with advanced cancer lived longer and enjoyed a better quality of life when they received outpatient palliative care.

WHO Definition of Palliative Care". WHO. Archived from the original on 4 October 2003 . Retrieved 4 December 2019. a medicines policy which ensures the availability of essential medicines for managing symptoms, in particular opioid analgesics for the relief of pain and respiratory distress. Palliative care is appropriate for individuals with serious illnesses across the age spectrum and can be provided as the main goal of care or in tandem with curative treatment. It is provided by an interdisciplinary team which can include physicians, nurses, occupational and physical therapists, psychologists, social workers, chaplains, and dietitians. Palliative care can be provided in a variety of contexts, including hospitals, outpatient, skilled-nursing, and home settings. Although an important part of end-of-life care, palliative care is not limited to individuals near the end of life. [1]

4. How We Die by Sherwin B. Nuland

In most countries, hospice care and palliative care is provided by an interdisciplinary team consisting of physicians, pharmacists, nurses, nursing assistants, social workers, chaplains, and caregivers. In some countries, additional members of the team may include certified nursing assistants and home healthcare aides, as well as volunteers from the community (largely untrained but some being skilled medical personnel), and housekeepers. In the United States, the physician sub-specialty of hospice and palliative medicine was established in 2006 [98] to provide expertise in the care of people with life-limiting, advanced disease, and catastrophic injury; the relief of distressing symptoms; the coordination of interdisciplinary care in diverse settings; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end of life care. [99] Outside the United States, the term hospice usually refers to a building or institution that specializes in palliative care. These institutions provide care to patients with end of life and palliative care needs. In the common vernacular outside the United States, hospice care and palliative care are synonymous and are not contingent on different avenues of funding. [19] Temel JS, et al. (2010). Early palliative care for patients with metastatic non-small-cell lung cancer. a b Kelley AS, Morrison RS (August 2015). "Palliative Care for the Seriously Ill". The New England Journal of Medicine. 373 (8): 747–755. doi: 10.1056/nejmra1404684. PMC 4671283. PMID 26287850.

Fawole OA, Dy SM, Wilson RF, Lau BD, Martinez KA, Apostol CC, etal. (April 2013). "A systematic review of communication quality improvement interventions for patients with advanced and serious illness". Journal of General Internal Medicine. 28 (4): 570–577. doi: 10.1007/s11606-012-2204-4. PMC 3599019. PMID 23099799. Kavalieratos D, Corbelli J, Zhang D, Dionne-Odom JN, Ernecoff NC, Hanmer J, etal. (November 2016). "Association Between Palliative Care and Patient and Caregiver Outcomes: A Systematic Review and Meta-analysis". JAMA. 316 (20): 2104–2114. doi: 10.1001/jama.2016.16840. PMC 5226373. PMID 27893131. Thank you letter to David Bowie from a palliative care doctor". British Medical Journal Supportive & Palliative Care. 16 January 2016. Archived from the original on 28 December 2021 . Retrieved 30 December 2021. Palliative care for cancer often includes treatments for depression or anxiety and tools to help family members plan for the future. Palliative care for cardiovascular diseasesLatter S, Campling N, Birtwistle J, Richardson A, Bennett MI, Ewings S, etal. (September 2020). "Supporting patient access to medicines in community palliative care: on-line survey of health professionals' practice, perceived effectiveness and influencing factors". BMC Palliative Care. 19 (1): 148. doi: 10.1186/s12904-020-00649-3. PMC 7517636. PMID 32972414. Terminally ill patients and their families may need more help to manage their medicines". NIHR Evidence (Plain English summary). National Institute for Health and Care Research. 16 September 2020. doi: 10.3310/alert_41179. S2CID 242429298. Why Quality of Life Matters, Even in Your Final Hours". The Walrus. 29 May 2019. Archived from the original on 29 June 2021 . Retrieved 29 June 2021. Opioids can also alleviate other common distressing physical symptoms including breathlessness. Controlling such symptoms at an early stage is an ethical duty to relieve suffering and to respecta person’s dignity. Insufficient access to palliative care