Palliative Care in Chronic Illness and Multimorbidity

  • Tim Luckett
  • Meera AgarEmail author
  • Jane J. Phillips
Reference work entry


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 is likely to play an increasingly important role in transfer of information (including advance care plans) and enabling coordination of care. During periods of stability, patients and families should be actively involved in keeping well and helped to “hope for the best while preparing for the worst” to support sustained coping. A rapid response is needed to clinical events that helps people return to stability and takes preventive action against future events wherever possible. Transitions between chronic and terminal 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. Consumer advocacy may play an important role in raising awareness and advocating for appropriate resourcing and changes to policy and legislation.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Tim Luckett
    • 5
  • Meera Agar
    • 1
    • 2
    • 3
    • 4
    Email author
  • Jane J. Phillips
    • 6
    • 7
  1. 1.Faculty of HealthUniversity of Technology SydneyUltimoAustralia
  2. 2.South Western Sydney Clinical School, School of MedicineUniversity of New South Wales (UNSW)SydneyAustralia
  3. 3.Ingham Institute for Applied Medical ResearchLiverpoolAustralia
  4. 4.Palliative Care Service, South Western Sydney Local Health DistrictSydneyAustralia
  5. 5.Improving Palliative, Aged and Chronic Care through Clinical Research and Translation, Faculty of Health, University of Technology SydneySydneyAustralia
  6. 6.Faculty of Health, Improving Palliative, Aged and Chronic Care Through Clinical Research and Translation, University of Technology SydneyUltimoAustralia
  7. 7.School of Nursing, University of Notre Dame Australia-SydneyDarlinghurstAustralia

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