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Palliative Care in the Home$
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Derek Doyle and David Jeffrey

Print publication date: 2000

Print ISBN-13: 9780192632272

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780192632272.001.0001

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The challenge of providing palliative care in the home

The challenge of providing palliative care in the home

(p.1) 1 The challenge of providing palliative care in the home
Palliative Care in the Home

Derek Doyle

David Jeffrey

Kenneth Calman

Oxford University Press

Palliative care aims to give the best quality of life for patients with incurable life-threatening diseases. It provides relief from pain and other distressing symptoms associated with these diseases. Palliative care also aims to provide a support system to aid the family in coping with the patient's illness and their bereavement. One of the most significant phases of palliative care is the terminal care that takes place in the last days of life and which aims to provide a dignified death for the patient. This chapter discusses the challenges faced by the primary care teams in providing palliative care within the home setting. Among these are communication problems; continuity of care; competency of the multidisciplinary specialist palliative care teams; team work within the multidisciplinary teams; ethical issues and dilemmas; investment of time by the health care providers; needs of the relatives and carers; and partnership between the family, patients, and professionals.

Keywords:   palliative care, quality of life, life-threatening diseases, support system, terminal care, home, primary care, communication problems, continuity of care, competency

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