Palliative Care Models in Long-Term Care: A Scoping Review Academic Article uri icon

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abstract

  • OBJECTIVE: The goal of this scoping review was to identify existing palliative models in long-term care (LTC) homes and differentiate between the key components of each in terms of training/capacity-building strategies; resident, family and staff support; and advance care planning (ACP) and goals-of-care discussions. METHODS: We conducted a scoping review based on established methods to summarize the international literature on palliative models and programs for LTC. We analyzed the data using tabular summaries and content analysis. RESULTS: We extracted data from 46 articles related to palliative programs, training/capacity building, family support, ACP and goals of care. Study results highlighted that three key components are needed in a palliative program in LTC: (1) training and capacity building; (2) support for residents, family and staff; and (3) ACP, goals-of-care discussion and informed consent. CONCLUSION: This scoping review provided important information about key components to be included in a palliative program in LTC. Future work is needed to develop a model that suits the unique characteristics in the Canadian context.

authors

  • Kaasalainen, Sharon
  • Sussman, Tamara
  • McCleary, Lynn
  • Thompson, Genevieve
  • Hunter, Paulette
  • Wickson-Griffiths, Abigail
  • Cook, Rose
  • Bello-Haas, Vanina Dal
  • Venturato, Lorraine
  • Papaioannou, Alexandra
  • You, John
  • Parker, Deborah

publication date

  • September 30, 2019