Thursday, July 10, 2014: 2:00 PM-3:00 PM
Primary Presenter:
Amy Thomas, MSN, ANP-C, ACHPN
Learning Objectives:
1. Identify two clinical interventions used by home palliative care teams to support patients/families in transitioning from hospital to home/NH/ALF
2. Describe the use of goals of care conversations in assisting patients in decision making regarding appropriate levels of care
3. Identify one psychosocial intervention for use in a home based palliative care setting to assist families who are caring for chronically ill patients
As hospital based palliative care teams become a more consistent component of our healthcare system, home based teams have become a recently accepted piece of the puzzle that composes the continuum of care. Patients with chronic illness who are not clinically appropriate for hospice care tend to fall into a number of “gaps” in care, resulting in multiple rehospitalizations and ongoing issues with adherence, access, and psychosocial challenges. This presentation will focus on the use and value of home based palliative care programs in supporting patients and families who face chronic illness and require symptom management, as well as assistance in making appropriate transitions along the care continuum while avoiding rehospitalization and healthcare complications.
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