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Perspective from the Epicenter: Serious illness & end-of-life care Amy Berman, BS, RN. Objectives. Define patient-centered care Identify three things you can do to ensure patient-centered care. Define the difference between palliative care and hospice. - PowerPoint PPT Presentation
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The John A. Hartford Foundation
Perspective from the Epicenter: Serious illness & end-of-life care
Amy Berman, BS, RN
The John A. Hartford Foundation
Objectives
• Define patient-centered care
• Identify three things you can do to ensure patient-centered care.
• Define the difference between palliative care and hospice
The John A. Hartford Foundation
The John A. Hartford Foundation
The John A. Hartford Foundation
Hartford Foundation Mission
Increase the nation’s capacity to provide effective and
affordable care to its rapidly increasing older population
The John A. Hartford Foundation
Changing Demographics
% % %
The John A. Hartford Foundation
The John A. Hartford Foundation
Patient-Centered Care
“Care that is truly patient-centered considers patients’ cultural traditions, their personal preferences and values, their family situations, and their lifestyles. It makes the patient and their loved ones an integral part of the care team who collaborate with health care professionals in making clinical decisions.”
-- Institute for Healthcare Improvement
The John A. Hartford Foundation
The John A. Hartford Foundation
How can care be Patient-Centered when we
don’t discuss serious illness with the patient?
The John A. Hartford Foundation
The John A. Hartford Foundation
Three Things You Can Do
• Ask about your care options• Make your values and goals
understood• Complete advance directives and
make sure your healthcare providers and family have them to ensure your choices are honored
The John A. Hartford Foundation
Basic Advance Directives
• Do Not Resuscitate Order (DNR)• Health Care Proxy• Living Will
The John A. Hartford Foundation
POLST
• Physician Orders for Life Sustaining Treatment (POLST)
• Medical order that indicates the treatment you want in the last stages of illness
www.coalitionccc.org
The John A. Hartford Foundation
Palliative Care
Palliative care focuses on improving the quality of life of people facing serious illness. Emphasis is placed on pain and symptom management, communication and coordinated care. Palliative care is appropriate from the time of diagnosis and can be provided along with curative treatment.
www.getpalliativecare.org
The John A. Hartford Foundation
Hospice
• Provides comfort & support to patients and their families when a life-limiting illness no longer responds to cure-oriented treatments.
• Neither prolongs life nor hastens death• Improves quality of a patient's last days
by offering comfort and dignity.
www.hospicefoundation.org
The John A. Hartford Foundation
Special Thanks• American Federation of Teachers
Healthcare Division
