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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

Palliative Care Issues

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

Professor, Palliative Care Nursing

University of Oklahoma College of Nursing

slide2
Palliative care is care provided by an interdisciplinary team
  • Focused on the relief of suffering
  • Support for the best possible quality of life
catastrophic mass casualty palliative care
Palliative Care is:

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
slide4
Good palliative care occurs wherever the patient is.
  • The community should be prepared about the principles of palliative care in a disaster situation.
slide5
The minimum goal: die pain and symptom free.
  • Effective pain and symptom management is a basic minimum of service.
slide6
Adequate and aggressive palliative care services should be available to everyone.
  • Palliative care under circumstances of a mass casualty event is aggressive symptom management.
slide7
Prevailing circumstances

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

catastrophic mce and large volume
Catastrophic MCE and Large Volume

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
clinical services after triage
Clinical Services After Triage
  • Resources:
    • Personnel
    • Coordination
    • Supplies
clinical process issues
Clinical Process Issues
  • 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
preparation for the future
Preparation For The Future
  • “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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