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Understanding the Impact of Community-Based Palliative Care

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Palliative Care for Chronic Cancer Patients in the Community

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Abstract

With the advancements in treatments for previously terminal conditions, more Americans are now living with chronic serious illnesses for longer periods of time. Not only are there often associated symptoms of the disease itself, but often treatments for these chronic disease states have significant and debilitating side effects. Palliative medicine and hospice are subspecialties that focus on management of pain, symptoms, and stress for those living with a serious chronic disease. Both provide an interdisciplinary focus and a layer of support for patients and their families. Despite the rise in the availability of palliative medicine and hospice, many communities remain disproportionately underserved. There are many challenges for community-based palliative care programs including financial, staffing, ethical, and mental health issues. However, despite these challenges, there are opportunities for growth. As the healthcare entities move to a more patient-centered healthcare delivery system tied across the community, community-based palliative care programs are well positioned to bridge across the continuum of care settings and deliver a person-centered interprofessional approach to people dealing with serious illnesses and conditions.

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    Authors and Affiliations

    1. Carilion Roanoke Memorial Hospital Palliative Care Service, Roanoke, VA, USA

      Phyllis Whitehead, Christi Stewart & Kye Y. Kim

    2. Virginia Tech Carilion School of Medicine, Roanoke, VA, USA

      Phyllis Whitehead, Senaida Keating & Christi Stewart

    3. Veterans Affairs Medical Center, Salem, VA, USA

      Senaida Keating

    4. Centra Health Palliative Care Service, Lynchburg, VA, USA

      Shereen Gamaluddin & Carolyn White

    5. Carilion Center for Healthy Aging, Roanoke, VA, USA

      Christi Stewart & Kye Y. Kim

    6. Department of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA

      Kye Y. Kim

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    1. Phyllis Whitehead
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    2. Senaida Keating
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    3. Shereen Gamaluddin
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    4. Carolyn White
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    5. Christi Stewart
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    6. Kye Y. Kim
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    Correspondence to Kye Y. Kim .

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    Editors and Affiliations

    1. Middle East Cancer Consortium, Haifa, Israel

      Michael Silbermann

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    Whitehead, P., Keating, S., Gamaluddin, S., White, C., Stewart, C., Kim, K.Y. (2021). Understanding the Impact of Community-Based Palliative Care. In: Silbermann, M. (eds) Palliative Care for Chronic Cancer Patients in the Community. Springer, Cham. https://doi.org/10.1007/978-3-030-54526-0_5

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    • DOI: https://doi.org/10.1007/978-3-030-54526-0_5

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