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Palliative care in the nursing home 

Palliative care in the nursing home
Chapter:
Palliative care in the nursing home
Author(s):

Jane L. Phillips

, Annmarie Hosie

, and Patricia M. Davidson

DOI:
10.1093/med/9780199656097.003.0014
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date: 07 May 2021

Internationally, ageing, technological advances, evolving patterns of disease and disability, and changes in family structures have resulted in nursing homes becoming the final residence for many frailer older people. Much of the on-site assistance with activities of daily living in nursing homes is predominately provided by an unregulated or minimally trained carer workforce with registered nurse supervision, while professional nursing and medical care is provided either by on-site or visiting doctors, nurses, and allied health professionals from external services. This chapter details the palliative care needs of older people living in nursing homes and the challenges and opportunities to deliver better end-of-life care to this population, and proposes utilizing the Chronic Care Model as a framework for delivering the elements of a palliative approach to improve care outcomes for residents and their families.

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