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How Can Clinician Well-Being Be Improved and Sustained in Palliative Care?
Introduction and Scope of the Problem Individual and organizational investment in clinician well-being is required to sustain the careers of those providing care to the seriously ill. Among U.S. health care professionals in general, burnout is experienced by an estimated…
What Is the Evidence Supporting the Use of Mobile Health Technologies in Palliative Care?
Introduction and Scope of the Problem There has been explosive growth in the creation and use of mobile technologies for health care in the past 10 years, accompanying exponential growth in access to mobile technology. The global mobile health market…
What Is the Evidence for Integrative and Alternative Therapies in Palliative Care?
Introduction and Scope of the Problem Integrative medicine refers to a group of interventions that are used in conjunction with conventional therapies and that emphasize a patient-centered, holistic approach to care of the individual. Initially the term “complementary and alternative…
What Are the Palliative Care Needs of LGBTQ+ People?
Introduction and Scope of the Problem Lesbian, Gay, Bisexual, Transgender, and Queer, commonly known as LGBTQ+, are terms used to describe sexual orientation and gender identity (SOGI). According to a 2017 Gallup survey, roughly 11 million Americans (4.5% of the…
What Are the Racial and Ethnic Health Disparities That Exist in Palliative Care?
Introduction and Scope of the Problem Racial and ethnic health disparities exist within health care systems in relation to access to care, receipt of care, and quality of care ( Fig. 76.1 ). Given unequal access to health systems and…
What Are Sources of Spiritual and Existential Suffering for Patients With Advanced Illness?
Introduction and Scope of the Problem For all of the rightful concern in health care about the lack of attention to physical and emotional pain, spiritual and existential suffering may be the most universal and underrecognized component of the disease…
What Are National Strategies and Frameworks for Palliative Care?
Introduction and Scope of the Problem In 2014, the World Health Organization (WHO) called on members to develop and implement policies to ensure evidence-based, effective, and equitable palliative care is integrated into national health services as an element of the…
What Models Exist to Deliver Palliative Care via Telemedicine?
Introduction Definition of Telehealth and Telemedicine Telehealth is the use of technology to support a broad range of health care services, including smartphone applications, online patient and clinician education initiatives, and clinical care delivered by providers to patients using a…
How Is Palliative Care Best Integrated Into Surgical Services?
Introduction and Scope of the Problem In 2005, the American College of Surgeons (ACS) recognized the need to provide seriously ill surgical patients with palliative care concurrent to routine surgical care. The ACS emphasized that palliative care is not synonymous…