In a discussion recently, the topic of Palliative Care came up. Some of us were under the impression that this was part of Hospice Care, which is usually reserved for the end of a life when the disease process has overwhelmed the body’s defenses.
So, naturally, I did a search on PubMed Central to see what I could see. It turns out that, as the title says, it isn’t just for end of life. This first link is to a Mayo Clinic Proceedings CME course that expired for credits in 2015. But, the main points are:
- Palliative care is not just for end of life cancer patients
- Patients with chronic illnesses or conditions can benefit
- Palliative care is appropriate at any stage of a serious disease or illness
- Palliative care is a team effort
- Palliative care can help reduce pain in chronic illnesses
- Palliative care teams can help with managing complex communication interactions and with dealing with the emotional impact on patients and their families
Here’s the link:
What everyone should know about Palliative Care
Then, I thought it would be useful to get the World Health Organization’s definition:
Then, I found a recent clinical trial of Palliative care vs Standard care for people with PD:
A clinical trial of PC v SC for people with PD.
The clinical trial showed better quality of life for people that received palliative care vs. those who received standard care. The variables were operationalized as: ” Outpatient integrated PC administered by a neurologist, social worker, chaplain, and nurse using PC checklists, with guidance and selective involvement from a palliative medicine specialist. Standard care was provided by a neurologist and a primary care practitioner.” Unfortunately no significant difference was found on burden for caregivers.
Finally, a citation: Oliver DJ, Borasio GD, Caraceni A, de Visser M, Grisold W, Lorenzl S, Veronese S, Voltz R. A consensus review on the development of palliative care for patients with chronic and progressive neurological disease. Eur J Neurol. 2016 Jan;23(1):30-8. doi: 10.1111/ene.12889. Epub 2015 Oct 1. PMID: 26423203. Although the complete article is not available online, they do make a few points:
- …there is increasing evidence that palliative care and a multidisciplinary approach to care do lead to improved symptoms … and quality of life of patients and their families …
- Main areas in which consensus was found and recommendations could made were:
- the early integration of palliative care,
- involvement of the wider multidisciplinary team,
- communication with patients and families including advance care planning,
- symptom management,
- end of life care,
- carer support and training, and
- education for all professionals involved in the care of these patients and families
So there you have it. And since this blog is primarily about my interests in learning more about my Parkinson’s Disease diagnosis and various comorbidities so that I can live as well as I can for as long as I can, I am reassured by these findings and recommendations. Gesundheit! Mazel Tov! Salut! L’Chaim! and to quote Tiny Tim, “Bless us, every one!”
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Crossvine (Bignonia capreolata), for instance, and Coral Honeysuckle (Lonicera sempervirens) which are both favored by Hummingbirds are blooming in profusion, as are the Texas Bluebonnets (Lupinus texensis). 







