Redefining Palliative Care-A New Consensus-Based Definition.

Details

Serval ID
serval:BIB_0C33452D4C4A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Redefining Palliative Care-A New Consensus-Based Definition.
Journal
Journal of pain and symptom management
Author(s)
Radbruch L., De Lima L., Knaul F., Wenk R., Ali Z., Bhatnaghar S., Blanchard C., Bruera E., Buitrago R., Burla C., Callaway M., Munyoro E.C., Centeno C., Cleary J., Connor S., Davaasuren O., Downing J., Foley K., Goh C., Gomez-Garcia W., Harding R., Khan Q.T., Larkin P., Leng M., Luyirika E., Marston J., Moine S., Osman H., Pettus K., Puchalski C., Rajagopal M.R., Spence D., Spruijt O., Venkateswaran C., Wee B., Woodruff R., Yong J., Pastrana T.
ISSN
1873-6513 (Electronic)
ISSN-L
0885-3924
Publication state
Published
Issued date
10/2020
Peer-reviewed
Oui
Volume
60
Number
4
Pages
754-764
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The International Association for Hospice and Palliative Care developed a consensus-based definition of palliative care (PC) that focuses on the relief of serious health-related suffering, a concept put forward by the Lancet Commission Global Access to Palliative Care and Pain Relief.
The main objective of this article is to present the research behind the new definition.
The three-phased consensus process involved health care workers from countries in all income levels. In Phase 1, 38 PC experts evaluated the components of the World Health Organization definition and suggested new/revised ones. In Phase 2, 412 International Association for Hospice and Palliative Care members in 88 countries expressed their level of agreement with the suggested components. In Phase 3, using results from Phase 2, the expert panel developed the definition.
The consensus-based definition is as follows: Palliative care is the active holistic care of individuals across all ages with serious health-related suffering due to severe illness and especially of those near the end of life. It aims to improve the quality of life of patients, their families and their caregivers. The definition includes a number of bullet points with additional details as well as recommendations for governments to reduce barriers to PC.
Participants had significantly different perceptions and interpretations of PC. The greatest challenge faced by the core group was trying to find a middle ground between those who think that PC is the relief of all suffering and those who believe that PC describes the care of those with a very limited remaining life span.
Keywords
Consensus, Hospice Care, Hospice and Palliative Care Nursing, Humans, Palliative Care, Quality of Life, Definition of palliative care, Delphi method, consensus, low or middle income countries, quality of life, relief of suffering
Pubmed
Web of science
Open Access
Yes
Create date
29/06/2021 13:23
Last modification date
20/07/2021 6:39
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