{"id":1037,"date":"2024-04-15T09:36:17","date_gmt":"2024-04-15T13:36:17","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/?post_type=chapter&#038;p=1037"},"modified":"2024-04-15T18:18:57","modified_gmt":"2024-04-15T22:18:57","slug":"2-7-5-end-of-life-care","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/chapter\/2-7-5-end-of-life-care\/","title":{"raw":"2.7.6 End-of-Life Care","rendered":"2.7.6 End-of-Life Care"},"content":{"raw":"End-of-life care:\r\n<ul>\r\n \t<li>Final stages of life, where death is imminent and anticipated<\/li>\r\n \t<li>Goal to prioritize comfort, preserve dignity and maintain a high-quality life<\/li>\r\n \t<li>EOL care is tailored to align with the preferences, values, expectations, and goals<\/li>\r\n<\/ul>\r\nEOL care should be differentiated from palliative care:\r\n<ul>\r\n \t<li>EOL care is specifically tailored to the terminal phase<\/li>\r\n \t<li>Palliative care is not restricted by a specific timeline<\/li>\r\n \t<li>Palliative care is often provided alongside curative or life-prolonging treatments<\/li>\r\n \t<li>EOL care, curative treatments are no longer pursued and the goal shifts to comfort care[footnote]Government of British Columbia, n.d[\/footnote][footnote]Alberta Health Services, n.d.[\/footnote][footnote]Ontario Palliative Care Network, 2017[\/footnote][footnote]Ontario Ministry of Health, 2023d[\/footnote][footnote]Eppel, 2021[\/footnote][footnote]Closing the Gap; 2019[\/footnote]<\/li>\r\n<\/ul>\r\nBarriers to providing quality EOL care include:\r\n<ul>\r\n \t<li>Motivation barriers<\/li>\r\n \t<li>Capability barriers<\/li>\r\n \t<li>Opportunity barriers<\/li>\r\n<\/ul>\r\nSystematic process of providing EOL care as outlined by the Canadian Hospice Palliative Care Association (2013):\r\n<ul>\r\n \t<li>Stage 1: Assessment<\/li>\r\n \t<li>Stage 2: Information sharing<\/li>\r\n \t<li>Stage 3: Decision making<\/li>\r\n \t<li>Stage 4: Care planning<\/li>\r\n \t<li>Stage 5: Care delivery<\/li>\r\n \t<li>Stage 6: Confirmation[footnote]Harasym et al., 2020[\/footnote][footnote]Canadian Hospice Palliative Care Association, 2013[\/footnote]<\/li>\r\n<\/ul>\r\n&nbsp;","rendered":"<p>End-of-life care:<\/p>\n<ul>\n<li>Final stages of life, where death is imminent and anticipated<\/li>\n<li>Goal to prioritize comfort, preserve dignity and maintain a high-quality life<\/li>\n<li>EOL care is tailored to align with the preferences, values, expectations, and goals<\/li>\n<\/ul>\n<p>EOL care should be differentiated from palliative care:<\/p>\n<ul>\n<li>EOL care is specifically tailored to the terminal phase<\/li>\n<li>Palliative care is not restricted by a specific timeline<\/li>\n<li>Palliative care is often provided alongside curative or life-prolonging treatments<\/li>\n<li>EOL care, curative treatments are no longer pursued and the goal shifts to comfort care<a class=\"footnote\" title=\"Government of British Columbia, n.d\" id=\"return-footnote-1037-1\" href=\"#footnote-1037-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><a class=\"footnote\" title=\"Alberta Health Services, n.d.\" id=\"return-footnote-1037-2\" href=\"#footnote-1037-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><a class=\"footnote\" title=\"Ontario Palliative Care Network, 2017\" id=\"return-footnote-1037-3\" href=\"#footnote-1037-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><a class=\"footnote\" title=\"Ontario Ministry of Health, 2023d\" id=\"return-footnote-1037-4\" href=\"#footnote-1037-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><a class=\"footnote\" title=\"Eppel, 2021\" id=\"return-footnote-1037-5\" href=\"#footnote-1037-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a><a class=\"footnote\" title=\"Closing the Gap; 2019\" id=\"return-footnote-1037-6\" href=\"#footnote-1037-6\" aria-label=\"Footnote 6\"><sup class=\"footnote\">[6]<\/sup><\/a><\/li>\n<\/ul>\n<p>Barriers to providing quality EOL care include:<\/p>\n<ul>\n<li>Motivation barriers<\/li>\n<li>Capability barriers<\/li>\n<li>Opportunity barriers<\/li>\n<\/ul>\n<p>Systematic process of providing EOL care as outlined by the Canadian Hospice Palliative Care Association (2013):<\/p>\n<ul>\n<li>Stage 1: Assessment<\/li>\n<li>Stage 2: Information sharing<\/li>\n<li>Stage 3: Decision making<\/li>\n<li>Stage 4: Care planning<\/li>\n<li>Stage 5: Care delivery<\/li>\n<li>Stage 6: Confirmation<a class=\"footnote\" title=\"Harasym et al., 2020\" id=\"return-footnote-1037-7\" href=\"#footnote-1037-7\" aria-label=\"Footnote 7\"><sup class=\"footnote\">[7]<\/sup><\/a><a class=\"footnote\" title=\"Canadian Hospice Palliative Care Association, 2013\" id=\"return-footnote-1037-8\" href=\"#footnote-1037-8\" aria-label=\"Footnote 8\"><sup class=\"footnote\">[8]<\/sup><\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-1037-1\">Government of British Columbia, n.d <a href=\"#return-footnote-1037-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-1037-2\">Alberta Health Services, n.d. <a href=\"#return-footnote-1037-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-1037-3\">Ontario Palliative Care Network, 2017 <a href=\"#return-footnote-1037-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-1037-4\">Ontario Ministry of Health, 2023d <a href=\"#return-footnote-1037-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-1037-5\">Eppel, 2021 <a href=\"#return-footnote-1037-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><li id=\"footnote-1037-6\">Closing the Gap; 2019 <a href=\"#return-footnote-1037-6\" class=\"return-footnote\" aria-label=\"Return to footnote 6\">&crarr;<\/a><\/li><li id=\"footnote-1037-7\">Harasym et al., 2020 <a href=\"#return-footnote-1037-7\" class=\"return-footnote\" aria-label=\"Return to footnote 7\">&crarr;<\/a><\/li><li id=\"footnote-1037-8\">Canadian Hospice Palliative Care Association, 2013 <a href=\"#return-footnote-1037-8\" class=\"return-footnote\" aria-label=\"Return to footnote 8\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":517,"menu_order":60,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-1037","chapter","type-chapter","status-publish","hentry"],"part":3,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/1037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/users\/517"}],"version-history":[{"count":2,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/1037\/revisions"}],"predecessor-version":[{"id":1052,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/1037\/revisions\/1052"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/parts\/3"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/1037\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/media?parent=1037"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapter-type?post=1037"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/contributor?post=1037"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/license?post=1037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}