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Palliative Care in Chronic Illness and Multimorbidity

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Textbook of Palliative Care

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Abstract

Extended chronic phases of life-limiting illness and increasing multimorbidity present growing challenges that require a new approach to healthcare. A population-based approach is needed to harmonize policies, systems, and services relating to chronic and palliative care. Partnerships are needed between different healthcare disciplines and specialties, and between health services and communities. Technology will likely play an increasingly important role in transferring real-time information (including advance care planning), delivering virtual clinical assessment and care, and strengthening care coordination. During periods of stability, people with chronic illness and their families should be actively involved in keeping well and helped to “prepare for the worst while hope for the best” to support sustained coping. A rapid response is needed to clinical events that helps people return to stability and optimal function, and institutes preventative action to reduce the risk of future clinical events wherever possible. Transitions between chronic and end of life phases of illness and different settings (community, residential, and hospital) need focal support to prevent people “falling through the gaps.” The optimal timing of referral to specialist palliative care services is the subject of ongoing debate and research, but there is consensus that referral should be based on need rather than on diagnosis. Consumer advocacy is likely to play an important role in raising awareness about the need for palliative care during the chronic phase of illness and advocating for appropriate resourcing, policy, and legislation.

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Authors and Affiliations

  1. Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia

    Tim Luckett, Meera Agar & Jane Phillips

  2. South Western Sydney Clinical School, Liverpool Hospital, University of New South Wales, Liverpool, NSW, Australia

    Meera Agar

  3. Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia

    Meera Agar

  4. Palliative Care Service, South Western Sydney Local Health District, Liverpool Hospital, Liverpool, NSW, Australia

    Meera Agar

  5. Cancer and Palliative Care Outcomes, Centre for Health Care Transformation, Queensland University of Technology, Kelvin Grove, QLD, Australia

    Jane Phillips

  6. School of Nursing, Queensland University of Technology, Kelvin Grove, QLD, Australia

    Jane Phillips

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Correspondence to Tim Luckett .

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  1. HammondCare Learning and Research Centre, Greenwich Hospital, Greenwich, NSW, Australia

    Roderick Duncan MacLeod

  2. Vrije Universiteit Brussel, VUB-UGent End-of-Life Care Research Grou Vrije Universiteit Brussel, Brussels, Belgium

    Lieve Van den Block

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Luckett, T., Agar, M., Phillips, J. (2023). Palliative Care in Chronic Illness and Multimorbidity. In: MacLeod, R.D., Van den Block, L. (eds) Textbook of Palliative Care. Springer, Cham. https://doi.org/10.1007/978-3-319-31738-0_64-2

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  • DOI: https://doi.org/10.1007/978-3-319-31738-0_64-2

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  1. Latest

    Palliative Care in Chronic Illness and Multimorbidity
    Published:
    27 October 2023

    DOI: https://doi.org/10.1007/978-3-319-31738-0_64-2

  2. Original

    Palliative Care in Chronic Illness and Multimorbidity
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    11 January 2018

    DOI: https://doi.org/10.1007/978-3-319-31738-0_64-1

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