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academies
International Conference on
FAMILY MEDICINE AND FAMILY PHYSICIANS
October 16-17, 2017 | Toronto, Canada
Arch Gen Intern Med 2017 | Volume 1 Issue 3
Maintaining quality of life throughout illness-palliative care guide
Marjorie Risola
DGRB Services LLC, USA
Background:
Palliative care -advance care planning is
described as a process of developing a valid expression of
wishes rather than a single consultation or the signing of a
legal document.
Method:
Palliative care -advance care planning is an
informed consent, and once completed is an informative
decision -making document that becomes part of a
continuing engagement with the resident, caregiver and the
health care provider. The goal is to facilitate palliative care-
advance care planning as part of the resident’s care across
the continuum of care. Included in this continuum of care
are the Acute Care, Skilled Nursing, Assisted Living, and Long
Term Care facilities. Informational brochure is an example of
putting information in the resident or caregiver’s hands to
seek out a clinician, social worker to begin the conversation
related to advance care planning. The skill of the clinician,
social worker is the ability to communicate and assist the
resident in articulating their values, and goals of treatment.
Inviting the health care proxy is encouraged, so that they too
will have a clear understanding of their loved one’s wishes.
Conclusion:
Recommended reading “Being Mortal” by Atul
Gawande, examples of advance care planning is POLST, Five
Wishes and Palliative Care Brochure.
Speaker Biography
Marjorie Risola, is a RN-BC Clinical Care Consultant partnering with DGRB Services LLC.
Her expertise is in Long Term Care facilities’ quality of care, for which, palliative care
has been a driving force in quality of life of every resident. Her nursing practice has
extended over 20 years and during those years, she received the Governor’s Award
in Nursing, received a Broad Certification in Gerontological Nursing and Certification
in wound care. She developed a Palliative care program that was recognized by New
Jersey Ethics Committee as an example of an expert program. Today, palliative care
program and advance care planning is a necessary component to resident’s care. As a
member of the Health Care Association of New Jersey’s Best Practice, there was such
an atmosphere of enthusiasm during the development of Palliative Care Program-
Advance Care Planning. This is a thoughtful program that stakeholders will respond to
as a Standard of Care.
e:
mrisola@dgrbservices.com