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Integrating Palliative Care into Long-Term Care

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Post-Acute and Long-Term Care Medicine

Part of the book series: Current Clinical Practice ((CCP))

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Abstract

Practitioners in post-acute and long-term care (LTC) are challenged in caring for an ever-increasing number of persons who face serious and life-limiting illness due to multiple chronic conditions (multimorbidities) and who reside either at home or in a LTC setting (i.e., nursing facility, SNF, assisted living, or residential care). The Center to Advance Palliative Care (CAPC) has reported that up to 80% of residents in nursing facilities could benefit from palliative care. As many facilities lack on-site access to a specialist palliative care consultation service, it is essential that practitioner’s acquire competency to integrate palliative care into daily practice. In addition, practitioners must acquire skills (cultural competency) to effectively communicate and interact with both patients’ families and health care workers of different cultures and diversity. Core areas of palliative care that challenge practitioners, patients, and families include: advance care planning (prognostication and values clarification, through both family-centered and patient-centered decision making); symptom management; and psychosocial support.

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Author information

Authors and Affiliations

  1. Department of Family and Preventive Medicine, University of Oklahoma, College of Medicine, Oklahoma City, OK, USA

    Peter Winn

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  1. Peter Winn
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Editor information

Editors and Affiliations

  1. Family and Preventive Medicine, OU Health Science Center, Oklahoma City, OK, USA

    Peter Winn

  2. The University of Pennsylvania, Jenkintown, PA, USA

    Pamela A. Fenstemacher

  3. Thomas Jefferson University, Philadelphia, PA, USA

    Richard G. Stefanacci

  4. Department of Geriatrics, Penn Medicine, Lancaster General Health, Lancaster, PA, USA

    R. Scott DeLong

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Winn, P. (2023). Integrating Palliative Care into Long-Term Care. In: Winn, P., Fenstemacher, P.A., Stefanacci, R.G., DeLong, R.S. (eds) Post-Acute and Long-Term Care Medicine. Current Clinical Practice. Humana, Cham. https://doi.org/10.1007/978-3-031-28628-5_11

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  • DOI: https://doi.org/10.1007/978-3-031-28628-5_11

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-031-28627-8

  • Online ISBN: 978-3-031-28628-5

  • eBook Packages: MedicineMedicine (R0)

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