This document provides an overview of palliative care, including: 1) Palliative care aims to relieve suffering and improve quality of life for patients facing serious illnesses, and involves addressing physical, emotional, and spiritual needs. 2) As the population ages and chronic diseases increase, more patients will benefit from palliative care services to improve end-of-life experiences and outcomes. 3) Prognostication, or predicting a patient's life expectancy, is an important but challenging skill for physicians, and palliative care aims to improve care based on patient preferences near the end of life.

1. Palliative Care 101 Gina M. Basello, D.O. Associate Program Director Jamaica Hospital Medical Center Family Medicine Residency Program

3. The Aging Population

14. The Palliative Care Team PATIENT family Nurses Social Worker Chaplain Dietician Other health care professionals Administration Volunteers Occupational Therapist Other therapies Physiotherapist Pharmacist Physician Community resources Ajemian, Oxford Textbook of Palliative Medicine , 1993

27. Domains of End-of-Life Care Disease Categories Special Interventions Terminal Care/Dying/ Patient- Family Experiences Communication/Ethics Non-Pain Symptoms/Syndromes Pain

34. Living with Life-Limiting Disease Practical Issues Spiritual Issues Psychological Issues Physical Symptoms Emotional Issues Social Issues Medical Information

35. Curative vs. Palliative Model of Care

36. Restoring the Balance Life Prolonging Care Palliative Care

37. Continuum of Care Model Disease Progression D E A T H B E R E A V E M E N T Curative Intent Palliative Care Curative Care

62. Questions???