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

Détails

Ressource 1Télécharger: Voumard_BMCG_2018.pdf (615.89 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_1ED4FDCD2DDA
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Geriatric palliative care: a view of its concept, challenges and strategies.
Périodique
BMC geriatrics
Auteur(s)
Voumard R., Rubli Truchard E., Benaroyo L., Borasio G.D., Büla C., Jox R.J.
ISSN
1471-2318 (Electronic)
ISSN-L
1471-2318
Statut éditorial
Publié
Date de publication
20/09/2018
Peer-reviewed
Oui
Volume
18
Numéro
1
Pages
220
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: epublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
24/09/2018 9:57
Dernière modification de la notice
20/08/2019 12:54
Données d'usage