Suchergebnisse

chapter 1 What Are Hospice and Palliative Care? -- chapter 2 The Interdisciplinary Team -- chapter 3 Symptom Management and Physical Care -- chapter 4 Psychosocial and Spiritual Care -- chapter 5 Grief and Bereavement -- chapter 6 Community, Public, and Professional Education -- chapter 7 Hospice and Palliative Care Leadership -- chapter 8 Hospice and Palliative Care in the U.S. Health Care System -- chapter 9 How Palliative Care Is Unique in the Health Care System -- chapter 10 How Good Are Hospice and Palliative Care? -- chapter 11 A Right to Die? -- chapter 12 Hospice and Palliative Care Around the World -- chapter 13 The Future of Hospice and Palliative Care.

The importance of interdisciplinary care for patients and families facing the end of life is examined. Descriptions of varying forms of team functioning are provided with an emphasis on the characteristics of high-functioning interdisciplinary teams. The value of empowering the patient and family to direct the care they receive from their team is emphasized. Interdisciplinary team interventions in end-of-life care focus on the biopsychosocial and spiritual dimensions of human experience and facilitate growth and development in the last phase of life. Despite its great promise for improving patient care, the interdisciplinary model is not—with the exception of hospice care—widely implemented in today's health care system. The contributions of interdisciplinary teams to end-of-life care can be enhanced through the development of interdisciplinary team training programs, the creation of payment structures that support the interdisciplinary team model, and continuing research assessing the dynamics of team functioning and the benefits that interdisciplinary team care provides to patients and families near the end of life.

Background: An estimated 6,000 to 18,000 additional hospice and palliative medicine (HPM) physicians are needed in the United States. A source could be the military graduate medical education system where 15% of U.S. medical residents are trained. A community-based hospice and palliative care organization created a one-week rotation for military residents including participation in interdisciplinary group visits at patients' homes, facilities, and an inpatient hospice unit.