Palliative care in long term care: a system in change

Abbey, Jennifer A., Froggatt, Katherine A., Parker, Deborah, & Abbey, Brian R. (2006) Palliative care in long term care: a system in change. International Journal of Older People Nursing, 1(1), pp. 56-63.

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The provision of palliative care for older people within the next decade will need to be substantially different to that provided today. In long term care settings the achievement of quality palliative care will require attention to all levels of the health and social care system, in both its formal and informal manifestations. We suggest that long-term care facilities will become the hospices of the future, caring for older people with chronic conditions with a long trajectory to death, the most common being dementia. We see this progression as inevitable and appropriate if the right support is provided. We discuss the impact that transferability and sustainability has had on the present provision of palliative care for older people and how that may affect the future. Four forces which are important factors in public policy; leadership, a culture that supports learning throughout the care process, an emphasis on effective team development and the use of information technologies for quality activities are used as a framework for our vision of social planning. We then go on to discuss the impact of costs, workforce, service planning and public awareness as three vital areas where progress needs to be carefully tackled. We suggest some likely poor outcomes if this planning does not occur, but indicate that if planning and implementation is effective then services can provide the kind of care the baby boomer generation seeks.

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ID Code: 3616
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: context for change, Emergence of palliative care in long, term care, Issues of development, A view of the future, A way forward
ISSN: 1748-3735
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2006 Blackwell Publishing
Copyright Statement: The definitive version is available at
Deposited On: 14 Jun 2006 00:00
Last Modified: 29 Feb 2012 13:27

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