Palliative care models in long-term care : a scoping review

Article

KAASALAINEN, Sharon | SUSSMAN, Tamara | MCCLEARY, Lynn | THOMPSON, Genevieve | HUNTER, Paulette V. | WICKSON-GRIFFITHS, Abigail | COOK, Rose | BELLO-HAAS, Vanina Dal | VENTURATO, Lorraine | PAPAIOANNOU, Alexandra | YOU, John | PARKER, Deborah

OBJECTIVE: The goal of this scoping review was to identify existing palliative models in long-term care (LTC) homes and differentiate between the key components of each in terms of training/capacity-building strategies; resident, family and staff support; and advance care planning (ACP) and goals-of-care discussions. METHODS: We conducted a scoping review based on established methods to summarize the international literature on palliative models and programs for LTC. We analyzed the data using tabular summaries and content analysis. RESULTS: We extracted data from 46 articles related to palliative programs, training/capacity building, family support, ACP and goals of care. Study results highlighted that three key components are needed in a palliative program in LTC: (1) training and capacity building; (2) support for residents, family and staff; and (3) ACP, goals-of-care discussion and informed consent. CONCLUSION: This scoping review provided important information about key components to be included in a palliative program in LTC. Future work is needed to develop a model that suits the unique characteristics in the Canadian context.

http://dx.doi.org/10.12927/cjnl.2019.25975

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