Palliative care for older people - World Health Organization ...

More documents

Recommendations

Info

3. Invest in research, development and educationas part of the overall strategy on palliative carefor older people.4. Plan palliative care for older people at the levelof local government and develop strategies thatpromote effective leadership and communityaction in planning and implementing care,consistent with the culture of the communityorganization and its norms, standards andorganizational structure: a single provider,separation between health and social careor separation of responsibilities at differentgovernment levels depending on the type ofhealth care system.Health professionals need to do thefollowing.1. Ensure they are adequately trained and up todate in both geriatrics and the palliative care ofolder people, including assessing and treatingpain and other symptoms, communication skillsand coordination of care.2. Measure the outcomes of their routine careregularly, including for older people.3. Ensure that older people with palliative care needsare regarded as individuals, that their right tomake decisions about their health and social careis respected and that they receive the unbiasedinformation they need without experiencingdiscrimination because of their age.4. Ensure that their organizations work incoordination and collaboration with otherstatutory, private or voluntary organizations thatmay provide help or services for older peopleneeding palliative care.5. Participate in research, education and auditingthat seek to improve palliative care.Those funding research should do thefollowing.© Hristina Petkova1. Invest in programmes that develop and robustlydetermine the effectiveness and costeffectivenessof ways to improve palliative carefor older people, including people with diseasesother than cancer. These programmes shouldbe sustained over a period of time so thatnew models of care and interventions can bedeveloped and evaluated.2. Promote collaboration in comparing bestpractices in palliative care in various countries.54
3. Invest in creative research into the barriers toaccessing palliative care, the origin andmanagement of pain in diseases other thancancer and other symptoms older people have,their subjective experience of care, the mentaland social needs of different cultural groups, thetesting of advance care planning and meetingthe needs of frail older people.4. Promote collaboration in research betweenpalliative care and geriatric medicine, geriatricnursing and mental health services for olderpeople and the inclusion of older people inall kinds of innovative research on physicalinterventions, including drug treatment.5. Disseminate the findings of research on palliativecare for older people and constantly review theuptake.6. Monitor the proportion of funds in any diseaseor subject area that is directed towards palliativecare research, especially that involving olderpeople, and invest in redressing imbalances.7. Encourage innovative research (ideas that aremost likely to make a difference in practice) tohelp people with serious chronic illnesses to livewell and die well.8. Invest in methodological development in palliativecare research among older people, especiallyamong groups that are difficult to reach,including residents of nursing homes.9. Ensure that experts with relevant expertise assessresearch on palliative care among older people.© Peter Higginson55
Page 1:
PALLIATIVE CAREFOR OLDER PEOPLE:BET
Page 4 and 5:
AbstractPopulations around the worl
Page 7 and 8:
ForewordSocieties in the WHO Europe
Page 9 and 10:
AcknowledgementsThe WHO Regional Of
Page 11 and 12:
1IntroductionPalliative care is an
Page 13 and 14: By 2050, estimates indicate that mo
Page 15 and 16: • training of health care profess
Page 17 and 18: individuals and their families. Hea
Page 20: Fig. 3.2. Factors associated with p
Page 23 and 24: (Table 4.1). After 15 years, more t
Page 25 and 26: • the last days of life and death
Page 27 and 28: Box 4.4. Gerontology Institute “1
Page 29 and 30: 5National awareness“You matter be
Page 31 and 32: 6Educational interventionsA well-pe
Page 33 and 34: Box 6.3. European Association for P
Page 35 and 36: initiated at an early stage in the
Page 37 and 38: 8Improving care for older people in
Page 39 and 40: 9Improving palliative care for olde
Page 41 and 42: Box 9.3. Training in end-of-life ca
Page 43 and 44: 10Improving palliative care for old
Page 45 and 46: References1. Higginson IJ, Sen-Gupt
Page 47 and 48: Financial help, such as the paid co
Page 49 and 50: (Box 12.2). Several drugs can often
Page 51 and 52: 13Advance care planningAdvance care
Page 53 and 54: References1. Advance care planning:
Page 55 and 56: References1. Campbell H et al. Inte
Page 57 and 58: Box 15.1. Bus rounds as an educatio
Page 59 and 60: palliative care research initiative
Page 61 and 62: References1. Currow DC et al. A fra
Page 63: • Promote public awareness of pal
Page 67 and 68: GermanyEberhard KlaschikCentre for
Page 69 and 70: United Kingdom (continued)Marilyn K
Page 71 and 72: The Maruzza Lefebvre D’Ovidio Fou
show all

Palliative care for older people - World Health Organization ...

Create successful ePaper yourself

Delete template?

Save as template?