Abstract
Practitioners in post-acute and long-term care medicine are seeing an ever-increasing number of persons with chronic progressive illness who reside either at home or in an LTC setting (nursing facility, SNF, assisted living or residential care). Currently 46 % of all deaths in the USA occur in these settings. In 2008, a report by the Center to Advance Palliative Care (CAPC) concluded that up to 80 % of residents in nursing facilities could benefit from palliative care irrespective of prognosis. Despite the lack of formal palliative care consultation services in such settings, practitioners must apply and integrate the principals of palliative care into practice [1]. Others have promoted the need for a multidimensional model of successful aging (despite chronic illness) where disease and its physiological and functional limitations are countered by compensatory psycho-emotional and social interventions that result in emotional vitality, well-being, and engagement with life and spirituality [2].
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Winn, P., Way, D. (2016). Integrating Palliative Care into Practice. In: Fenstemacher, P., Winn, P. (eds) Post-Acute and Long-Term Medicine. Current Clinical Practice. Humana Press, Cham. https://doi.org/10.1007/978-3-319-16979-8_11
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