Increased Access To Palliative Care and Hospice Services: Opportunities To Improve Value in Health Care

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Keith Wesley C.

Ybut BSN-III January 30, 2018


Score:

Increased Access to Palliative Care and Hospice Services:


Opportunities to Improve Value in Health Care
Diane E Meier

Abstract
Context: A small proportion of patients with serious illness or multiple chronic conditions
account for the majority of health care spending. Despite the high cost, evidence demonstrates
that these patients receive health care of inadequate quality, characterized by fragmentation,
overuse, medical errors, and poor quality of life.
Methods: This article examines data demonstrating the impact of the U.S. health care system on
clinical care outcomes and costs for the sickest and most vulnerable patients. It also defines
palliative care and hospice, synthesizes studies of the outcomes of palliative care and hospice
services, reviews variables predicting access to palliative care and hospice services, and identifies
those policy priorities necessary to strengthen access to high-quality palliative care.
Findings: Palliative care and hospice services improve patient-centered outcomes such as pain,
depression, and other symptoms; patient and family satisfaction; and the receipt of care in the
place that the patient chooses. Some data suggest that, compared with the usual care, palliative
care prolongs life. By helping patients get the care they need to avoid unnecessary emergency
department and hospital stays and shifting the locus of care to the home or community, palliative
care and hospice reduce health care spending for America's sickest and most costly patient
populations.
Conclusions: Policies focused on enhancing the palliative care workforce, investing in the field's
science base, and increasing the availability of services in U.S. hospitals and nursing homes are
needed to ensure equitable access to optimal care for seriously ill patients and those with
multiple chronic conditions.

Reference: Meier, D. (2011, September) Increased Access to Palliative Care and Hospice
Services: Opportunities to Improve Value in Health Care.Retrieve from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214714/
Choosing a nursing career in either hospice or palliative care can be extremely difficult,
but will provide an opportunity for great personal growth. The end-of-life nurse’s primary
objective is to provide comfort and compassion to patients and their families during an extremely
difficult time. They must satisfy all “physical, psychological, social, cultural and spiritual needs”
of the patient and their family. The nurse involves their patient in care planning, as well as
educating them about the options available. They must follow the wishes of the patient and their
family, as provided in the patient’s advance directive if there is one available. This journal is true,
we as nurses must increase access to palliative care and hospice services, we need to improve
our skills and valued it. We also need on increasing the availability of services in hospitals and
nursing homes are needed to ensure equitable access to optimal care for seriously ill patients.

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