{"id":9451,"date":"2024-07-16T15:00:00","date_gmt":"2024-07-16T15:00:00","guid":{"rendered":"https:\/\/homewellcares.com\/in-home-care-mi-ann-arbor-mi265\/blogs\/a-bigger-picture-for-palliative-care\/"},"modified":"2026-04-10T14:33:32","modified_gmt":"2026-04-10T14:33:32","slug":"a-bigger-picture-for-palliative-care","status":"publish","type":"blog","link":"https:\/\/homewellcares.com\/in-home-care-mi-ann-arbor-mi265\/blogs\/a-bigger-picture-for-palliative-care\/","title":{"rendered":"A Bigger Picture for Palliative Care"},"content":{"rendered":"\n<p>by Kara Holbert, Director of Client Services and Education Development at HomeWell Franchising Inc.\u00ae<br><em>Originally published by&nbsp;<a href=\"https:\/\/www.homecaremag.com\/palliative-care\/july-2024\/bigger-picture-palliative-care\" target=\"_blank\" rel=\"noreferrer noopener\">HomeCare Magazine.&nbsp;<\/a>HomeCare\u00ae covers the HME\/DME provider, home health agency and caregiver markets.<\/em><\/p>\n\n\n\n<p>Since the late 1960s,<a href=\"..\/..\/palliative-support\/\"> palliative care<\/a> has supported terminally ill patients by addressing their symptoms and improving their quality of life as they undergo curative or life-prolonging treatment. Initially established as a specialized field focused on symptom management, palliative care has seen fundamental changes since the \u201980s and \u201990s, inspired by advancements in post-acute care and the public\u2019s evolving expectations of this service.<\/p>\n\n\n\n<p>Today, palliative care encompasses far more than just symptom relief and adopts a comprehensive approach to help ensure a patient\u2019s well-being. This evolution highlights the importance of early intervention, psychological support and more\u2014all administered by an interdisciplinary team and increasingly delivered in the comfort of home. Yet more than 60 years since its inception, the same question still arises\u2014what exactly should palliative care entail? What essential needs must it address to offer meaningful, sustainable support for families in search of this service for their loved ones?&nbsp;<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_75 counter-flat ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/homewellcares.com\/in-home-care-mi-ann-arbor-mi265\/blogs\/a-bigger-picture-for-palliative-care\/#A_new_holistic_focus\" >A new holistic focus<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/homewellcares.com\/in-home-care-mi-ann-arbor-mi265\/blogs\/a-bigger-picture-for-palliative-care\/#Early_intervention_and_psychological_support\" >Early intervention and psychological support<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/homewellcares.com\/in-home-care-mi-ann-arbor-mi265\/blogs\/a-bigger-picture-for-palliative-care\/#Home-based_palliative_care_is_critical\" >Home-based palliative care is critical<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/homewellcares.com\/in-home-care-mi-ann-arbor-mi265\/blogs\/a-bigger-picture-for-palliative-care\/#Looking_to_the_future\" >Looking to the future<\/a><\/li><\/ul><\/nav><\/div>\n<h3 class=\"wp-block-heading\" id=\"h-a-new-holistic-focus\"><span class=\"ez-toc-section\" id=\"A_new_holistic_focus\"><\/span><strong>A new holistic focus<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>In 1997, the Institute of Medicine released a report, \u201cApproaching Death: Improving Care at the End of Life,\u201d calling out discrepancies between what the public wanted from end-of-life care and their actual experiences with it. It was one of many thought-provoking publications that both promoted hospice care, a subset of palliative care, and inspired discussion among medical professionals. Discourse like this has continued to progress over nearly three decades, resulting in palliative care\u2019s shift toward a more holistic framework.&nbsp;<\/p>\n\n\n\n<p>Central to the continued evolution of palliative care is an acknowledgment that patients\u2019 needs extend far beyond symptom management. Addressing psychological and psychosocial needs is critical in the role of recovery. Rather than primarily treating a condition&#8217;s physical symptoms, the goal is now to improve a patient\u2019s quality of life as they receive care, addressing the physical, emotional, mental and spiritual challenges they and their families commonly face.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-early-intervention-and-psychological-support\"><span class=\"ez-toc-section\" id=\"Early_intervention_and_psychological_support\"><\/span><strong>Early intervention and psychological support<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Multiple global studies have shown that palliative care patients have a high prevalence of mental health challenges.<\/p>\n\n\n\n<p>While some start receiving palliative care with a pre-existing mental health condition, others may develop one along the way. In total, up to 50% of palliative care patients have reported experiencing some level of psychological distress.&nbsp;<\/p>\n\n\n\n<p>Palliative care professionals start treating their patients the moment they&#8217;re diagnosed with a life-threatening condition to address a range of physical, emotional and mental health concerns. A diverse team comprised of clinical and non-medical care professionals is often assembled to address each element of the client\u2019s personalized care plan. This process is key to offering the highest standard of care.<\/p>\n\n\n\n<p>Addressing these concerns can take many forms. Here are a few key tactics and best practices that caregivers are implementing to address clients\u2019 holistic needs.<\/p>\n\n\n\n<p><strong>1. Take an interdisciplinary approach.<\/strong><\/p>\n\n\n\n<p>By integrating a team of care professionals\u2014including psychologists, physicians, nurses, chaplains and social workers\u2014a wider range of physiological symptoms can be addressed at once. Implementing a collaborative and communicative care team to come together with the best care plan for the client is key to a comprehensive approach.<\/p>\n\n\n\n<p><strong>2. Give patients a voice.<\/strong><\/p>\n\n\n\n<p>Allowing space for patients to voice their distress and needs enables us to tailor their care. Not only does it relieve emotional discomfort, but it also helps us find a resolution more efficiently. Promoting open conversations can ultimately improve their quality of life and may even prevent their symptoms from worsening.<\/p>\n\n\n\n<p><strong>3.<\/strong><strong>&nbsp;<\/strong><strong>Build companionship.<\/strong><\/p>\n\n\n\n<p>According to a 2024 study published in the journal \u201cDeath Studies,\u201d companionship helps people live well and prepare for death more comfortably. The study shows companionship in palliative care offers opportunities for conversation, patient support and advocacy. It\u2019s also been known to enhance a patient\u2019s level of comfort, dignity, self-respect and overall well-being.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-home-based-palliative-care-is-critical\"><span class=\"ez-toc-section\" id=\"Home-based_palliative_care_is_critical\"><\/span><strong>Home-based palliative care is critical<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Nearly 2 million people are homebound in the United States, and many of them experience overwhelming barriers to obtaining the quality care they need. As costs soar, inpatient palliative care remains largely out of reach for many lower and middle-class American families. Those who do choose the hospital-based route can be more\u00a0likely to face physical, social and financial pitfalls.\u00a0<\/p>\n\n\n\n<p>In recent years, the health care industry has become more aware of patients\u2019 preferences for receiving care in the familiarity of their own homes. This realization has led to significant improvements in how in-home care encompasses the holistic elements of modern-day palliative care, fulfilling a need that clearly extends beyond the scope of end-of-life care, such as:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tailored activities<\/strong>. In-home care clients have access to personalized activities customized to their interests, abilities and health conditions. These activities\u2014many of which are not typical of inpatient care\u2014are designed to enhance their emotional, mental and physical wellness. As a client receives their treatments and supportive services, these customized activities can make all the difference in their quality of life while receiving palliative treatment.&nbsp;<\/li>\n\n\n\n<li><strong>Life enrichment programs<\/strong>. Many homecare providers offer unique features that set them apart, such as life enrichment programs. These can include community engagement events, social outings, spiritual activities and more. Such programs can be tailored to a client\u2019s preferences and help address loneliness and social isolation\u2014both of which have been linked to an increased risk of chronic illness.<\/li>\n\n\n\n<li><strong>Nutritional care.<\/strong>&nbsp;Nutrition is a cornerstone of general health. In-home palliative caregivers play a significant role in managing a client\u2019s food intake by ensuring they eat the right amounts of fruits, vegetables, fiber and protein based on their condition. Because palliative care clients face chronic or life-threatening conditions, nutrition management is essential in fueling the body\u2019s ability to fight disease and withstand certain treatments.<\/li>\n\n\n\n<li><strong>Reduced hospital readmissions<\/strong>. A comprehensive care approach to recovery means addressing post-care needs. Those who often receive hospital-based care can experience worsening symptoms after being discharged. With home-based palliative care, they can receive one-on-one attention from caregivers to monitor their symptoms closely. This helps mitigate the likelihood of unwanted and costly rehospitalization and emergency room visits.<\/li>\n<\/ul>\n\n\n\n<p>Rather than bandaging surface-level symptoms, each element works together with a client\u2019s existing treatment plan to provide the comprehensive support characteristic of palliative care by today\u2019s standards. Home-based palliative care allows the recipient to experience whole-person care, benefiting from nutrition management to social wellness, all without having to leave home.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-looking-to-the-future\"><span class=\"ez-toc-section\" id=\"Looking_to_the_future\"><\/span><strong>Looking to the future<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>We all play a role in the quality of life of our nation\u2019s senior and at-risk populations. With the elderly population at an all-time high and about 56.8 million people in need of palliative care each year, the demand for it will only continue to grow.&nbsp;<\/p>\n\n\n\n<p>Post-acute care is a rapidly developing field, and the public has clearly expressed a need for more than just symptom management. As palliative care continues to evolve, it\u2019s critical to embrace new advancements with an open mind. Providers, consumers and thought leaders alike should be receptive and willing to learn from one another.&nbsp;<\/p>\n\n\n\n<p>By leaning into what the public has voiced, we can adapt palliative care to be the meaningful, sustainable, all-encompassing service that patients and their families need.<\/p>\n","protected":false},"author":1,"featured_media":9452,"template":"","blog-category":[69],"class_list":["post-9451","blog","type-blog","status-publish","has-post-thumbnail","hentry","blog-category-editorials"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A Bigger Picture for Palliative Care | HomeWell Care Services | Ann Arbor, MI | In-home care<\/title>\n<meta name=\"description\" content=\"How has palliative care evolved to meet the growing needs of families? 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