Better palliative care for older people by edited by Elizabeth Davies and Irene J Higginson.

By edited by Elizabeth Davies and Irene J Higginson.

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1) (9,14). Specialist palliative day care There is evidence that patients value attending palliative day care units, where they can meet other patients, talk to staff and become involved in activities. There is no evidence as yet, however, that such attendance affects other outcomes such as quality or life or symptom control (9). Bereavement support In several studies, the relatives of patients dying in the care of specialist palliative care services reported fewer psychological symptoms and unmet needs than those of patients hospital admissions and prolong survival (16).

In: Addington-Hall JM, Higginson IJ, eds. Palliative care for non-cancer patients. Oxford, Oxford University Press, 2001. 18. Blue L et al. Randomised controlled trial of specialist nurse interventions in heart failure. British Medical Journal, 2001, 323:715–718. 19. Shee C. Respiratory disease. In: Addington-Hall JM, Higginson IJ, eds. Palliative care for non-cancer patients. Oxford, Oxford University Press, 2001. 20. Hanrahan P, Lutchins DJ, Murphy K. Palliative care for patients with dementia.

Developing palliative care services for non-cancer patients Multidisciplinary teams Multidisciplinary teams are one way of caring for people with complex problems, and already have an established role in geriatric medicine and the care of people with specific disorders. For example, team management of people with cardiac failure can reduce their Specialist nurses On balance, studies so far show that specialist nurse support can also help patients with heart failure and improve continuity of care (17,18).

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