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Palliative Care Issues. Marianne Matzo, Ph.D., APRN, BC, FAAN Professor, Palliative Care Nursing University of Oklahoma College of Nursing. Palliative care is care provided by an interdisciplinary team Focused on the relief of suffering Support for the best possible quality of life.

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Palliative Care Issues

Marianne Matzo, Ph.D., APRN, BC, FAAN

Professor, Palliative Care Nursing

University of Oklahoma College of Nursing


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Palliative Care is: team

Evidence-based medical treatment

Vigorous care of pain and symptoms throughout illness

Care that patientswant

Palliative Care is not:

Abandonment

The same as hospice

Euthanasia

Hastening death

Catastrophic Mass Casualty Palliative Care


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Prevailing circumstances available to everyone.

Catastrophic MCE

Triage + 1st response

Receiving disease modifying treatment

Existing hospice and PC patients

The optimal for treatment

The too sick to survive

The too well


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Catastrophic MCE and Large Volume available to everyone.

The too sick to survive *

Initially left in place

Other than active treatment site

Then:

Transport

  • *

  • Those exposed who will die over the course of weeks

  • Already existing palliative care population

  • Vulnerable population who become palliative care due to scarcity


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Clinical Services After Triage available to everyone.

  • Resources:

    • Personnel

    • Coordination

    • Supplies


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Clinical Process Issues available to everyone.

  • Symptom management, including sedation near death

  • Spirituality/meaningfulness

  • Family and provider support – mental health

  • Family and provider grief and bereavement

  • Event-driven protocols and clinical pathways


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Preparation For The Future available to everyone.

  • “Many of us discussed the need to evaluate what happened and learn how to be better prepared for the future.”

  • “You’re expected to know how to do mass casualty…. You must train for the worst and hope for the best.”


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