Geriatric palliative care: a view of its concept, challenges and strategies.

Details

Ressource 1Download: Voumard_BMCG_2018.pdf (615.89 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_1ED4FDCD2DDA
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Geriatric palliative care: a view of its concept, challenges and strategies.
Journal
BMC geriatrics
Author(s)
Voumard R., Rubli Truchard E., Benaroyo L., Borasio G.D., Büla C., Jox R.J.
ISSN
1471-2318 (Electronic)
ISSN-L
1471-2318
Publication state
Published
Issued date
20/09/2018
Peer-reviewed
Oui
Volume
18
Number
1
Pages
220
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: epublish
Abstract
In aging societies, the last phase of people's lives changes profoundly, challenging traditional care provision in geriatric medicine and palliative care. Both specialties have to collaborate closely and geriatric palliative care (GPC) should be conceptualized as an interdisciplinary field of care and research based on the synergies of the two and an ethics of care.Major challenges characterizing the emerging field of GPC concern (1) the development of methodologically creative and ethically sound research to promote evidence-based care and teaching; (2) the promotion of responsible care and treatment decision making in the face of multiple complicating factors related to decisional capacity, communication and behavioural problems, extended disease trajectories and complex social contexts; (3) the implementation of coordinated, continuous care despite the increasing fragmentation, sectorization and specialization in health care.Exemplary strategies to address these challenges are presented: (1) GPC research could be enhanced by specific funding programs, specific patient registries and anticipatory consent procedures; (2) treatment decision making can be significantly improved using advance care planning programs that include adequate decision aids, including those that address proxies of patient who have lost decisional capacity; (3) care coordination and continuity require multiple approaches, such as care transition programs, electronic solutions, and professionals who act as key integrators.
Keywords
Advance Care Planning/trends, Aged, Clinical Decision-Making/methods, Delivery of Health Care/methods, Delivery of Health Care/trends, Geriatrics/methods, Geriatrics/trends, Humans, Palliative Care/methods, Palliative Care/trends, Ethics of care, Geriatrics, Health policy, Interdisciplinary, Palliative care
Pubmed
Web of science
Open Access
Yes
Create date
24/09/2018 10:57
Last modification date
20/08/2019 13:54
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