What is Palliative Care?

Definitions of Palliative Care

Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.

World Health Organisation 2002

Palliative care can support people of all ages, including adults, children and young people, who are living with a life-limiting or life-threatening condition.

 Palliative care for children and young people is an active and total approach to care, from the point of diagnosis, throughout the child’s life, death and beyond. It embraces physical, emotional, social and spiritual elements and focuses on the enhancement of quality of life for the child or young person and support for the whole family. It includes the management of distressing symptoms, provision of short breaks, care at the end of life and bereavement support.

Together For Short Lives – UK Charity

What does Palliative Care do?

  • Palliative care is care that focuses on looking after physical, social, emotional and spiritual wellbeing. It aims to support the person with palliative care needs and their family and carers to maintain and, at times, improve their quality of life when they are living with a life-limiting illness.
  • Palliative care manages symptoms, such as pain, breathlessness and nausea, so that the person can continue to feel and live as well as possible despite having a serious illness. It aims to improve their ability to participate in daily activities and to keep doing the things they enjoy.
  • Palliative care can be offered throughout a life-limiting illness, from the time of diagnosis, during treatments and at the end of life. It can also help family, friends and carers, including in their bereavement.
  • Palliative care facilitates open and honest communication to ensure that decisions about care, such as treatment options, align with the person’s preferences and what is important to them
  • Children’s Palliative Care also provides support for families who care for a child or young person with palliative care needs. This support can range from emotional support services to respite care services. It also encompasses coming to terms with bereavement and loss and adjusting to life after losing a child.

How is Palliative Care Delivered?

Palliative care is provided by a team approach to planning and providing care that is tailored to meet the individual needs of a person, their family and those important to them. Palliative care can be provided by anyone who works in healthcare.

For children and young people, palliative care may involve a broad range of services working together to support the child or young person and their family.

Who provides Palliative Care?

Palliative care can be provided by anyone who works in healthcare.

  • Palliative care is provided by a team approach to planning and providing care that is tailored to meet the individual needs of a person, their family and those important to them. This includes adults, children and young people with palliative care needs.
  • The team may include General Practitioners (GPs), Nurses, Health Care Assistants, Hospital-Based Healthcare Professionals, Pharmacists, Social Workers, Pastoral Care and Chaplains, Allied Health Professionals such as Physiotherapists, Speech and Language Therapists, Occupational Therapists and Dieticians, and Complementary and Supportive Therapists.
  • Specialist Palliative Care (SPC) Teams can be hospital, hospice or community based. Some community SPC Teams are based within local hospices and others are based within the community. Hospices provide a range of services focused on managing symptoms within community, outpatient day services and inpatient services.

When should I think about Palliative Care?

Palliative care can benefit a person at all stages of a life-limiting illness. The earlier a person receives palliative care, the more it can help them, or someone close to them who has been diagnosed with a life-limiting illness. They may be experiencing symptoms and may be worried about the illness, the treatments that might be available and what might lie ahead.

End of life care is a part of the progression of people’s illnesses and is usually used to describe the care that is offered during the period when death is imminent, and life expectancy is limited to a short number of days, hours or less.

Some questions that may help you:

  1. Do you need help with managing symptoms?
  2. Is the illness making it hard to enjoy important parts of life?
  3. Are you unsure about what to expect if the illness progresses or gets worse?
  4. Are you worried about how someone close to you is coping?
  5. Do you need help to communicate with a loved one?
  6. Do you need emotional, social or spiritual support to deal with how the illness has changed life?
  7. Does your family or carer require additional support to help you, or the person you care for, stay at home?

Did you know? Palliative Care:

  • is not only for people with cancer — it can benefit people with any life-limiting illness
  • is for all ages — it can benefit people right across the lifespan, including adults, children and young people
  • is for people living at home and within nursing homes, people who are in hospital, as well as for people who might need to be in a hospice
  • is not only about dying, but can help people from the time of a diagnosis with a life-limiting condition onwards
  • improves the quality of life of the person with palliative care needs and can help their families
  • improves a person’s ability to participate in their daily activities, and keep doing things that are important to them
  • palliative care services may provide rehabilitative palliative care and complementary and creative arts therapies

What is Palliative Care?

Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.

World Health Organisation, 2002

Palliative Care aims to meet the physical, practical, social, emotional and spiritual needs of patients and carers facing progressive illness that may limit or shorten their lives and includes bereavement support. This care can be provided at any stage following diagnosis. It is for people of all ages to help them live as well as possible.

How is palliative care delivered?

It is delivered via the public, independent, community and voluntary sector organisations working collaboratively to provide integrated services.

General palliative care is delivered by multi-disciplinary teams in primary and community care settings, hospital units and wards. A general palliative approach can be provided by GPs, District Nurses, Allied Health Professionals (AHPs), Social Workers, Pharmacists and so on. Hospital Consultants and their teams can also employ a palliative approach when caring for people with particular conditions. These professionals can introduce the concept of palliative care early on in the patient’s care journey, revisiting the patient’s needs as the patient enters the more severe stages of illnesses such as; respiratory disease, heart failure, renal disease, neurological conditions and dementia. These experts can also recognise if or when referral to specialist palliative care is needed.

Specialist palliative care is the management of unresolved symptoms and more demanding care needs including complex psychosocial, end of life and bereavement issues. This is provided by specialist personnel with expert knowledge, skills and competences. It is delivered by specialist multi-disciplinary teams dedicated to palliative and end of life care. The responsibilities of these professionals will include a very careful assessment and management of physical symptoms such as pain, fatigue, loss of appetite as well as the provision of psychological, social and spiritual support to individuals and their families.

There are four main ways to provide specialist care:

  • Inpatient hospice and specialist palliative care units
  • Hospital – based services, where multi-disciplinary palliative teams work with patients in wards and clinics;
  • Community teams, which provide specialist advice and work alongside a patient’s own GP practice teams enabling specialist care to be provided in the patient’s home or care home;
  • Day care, which enables patients to continue living at home while having access to day facilities provided by a multi-disciplinary health and social care team.

How do you access specialist palliative care?

Republic of Ireland

Referral is made using a standard form, available to download from the HSE website. This form is normally signed by the General Practitioner (GP) or any doctor currently caring for the individual with a life-limiting condition.

Northern Ireland

Referral is a via a referral system and is often initiated by the GP currently caring for the individual with a life-limiting condition.

Where is palliative care available?

It can be provided:

  • In the person’s own home or where they currently reside – e.g. nursing home or care home
  • In hospital
  • In hospice

Further information on Palliative Care

The Palliative Hub has been developed by AIIHPC with member organisations, key stakeholders and AIIHPC’s Voices4Care volunteer to act as a gateway to information and resources about palliative care on the island of Ireland. The Palliative Hub fills a recognised gap in the palliative care sector for a dedicated websites to help people from a variety of backgrounds access and find the information and resources they need. Click here to access the site.