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Service Delivery Innovation Profile

Palliative Care Nurses in Primary Care Clinics Reduce Hospital Admissions, Increase Use of Hospice and Home Care for Patients Nearing End of Life

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1: Waiting for the Paradigm Shift.
Dr. Rader, in his expert commentary on this fine intervention, suggests that bringing palliative care to primary care is not so much evidence of the value of palliative care, as it is of the failings of the current medical model. He takes this opportunity to expound on the ways in which patients would be better served if medicine was different-- I do not disagree. However, in his arguing for the necessity of a medical paradigm shift, I believe Dr. Rader ignores two things. First, that until that shift happens, there are patients whose (physical, emotional, spiritual) suffering we aren't adequately addressing. They shouldn't need to wait until we professionals clean house to benefit from the principles of palliative care. And second, perhaps palliative care nurses in primary care aren't the "wrong solution" but, as they educate patients and fellow providers alike, a jumping off point for the beginning of the right one?
Jaime Hensel, RN, Friday, December 14, 2012 11:46 am| University; Nurse
2: Hospice Admission Nurse
Dr Rader and Nurse Hensel have commented on this effective innovation to better serve patients suffering from chronic severe illness. I would like to suggest that Dr Rader is correct and Hospice is underutilized and Nurse Hensel is correct and Palliative care nurses in primary care is a jumping off point and that a patients final journey with love is long process rather than a finite end point addressable with one solution.
Christopher O'Loughlin RN BSN PHN, Wednesday, March 26, 2014 6:25 pm| Other; Nurse
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Original publication: December 18, 2008.
Original publication indicates the date the profile was first posted to the Innovations Exchange.

Last updated: February 12, 2014.
Last updated indicates the date the most recent changes to the profile were posted to the Innovations Exchange.

Date verified by innovator: December 21, 2013.
Date verified by innovator indicates the most recent date the innovator provided feedback during the annual review process. The innovator is invited to review, update, and verify the profile annually.