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Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement.

Publication ,  Journal Article
Sullivan, DR; Iyer, AS; Enguidanos, S; Cox, CE; Farquhar, M; Janssen, DJA; Lindell, KO; Mularski, RA; Smallwood, N; Turnbull, AE; Wilkinson, AM ...
Published in: Am J Respir Crit Care Med
September 15, 2022

Background: Patients with serious respiratory illness and their caregivers suffer considerable burdens, and palliative care is a fundamental right for anyone who needs it. However, the overwhelming majority of patients do not receive timely palliative care before the end of life, despite robust evidence for improved outcomes. Goals: This policy statement by the American Thoracic Society (ATS) and partnering societies advocates for improved integration of high-quality palliative care early in the care continuum for patients with serious respiratory illness and their caregivers and provides clinicians and policymakers with a framework to accomplish this. Methods: An international and interprofessional expert committee, including patients and caregivers, achieved consensus across a diverse working group representing pulmonary-critical care, palliative care, bioethics, health law and policy, geriatrics, nursing, physiotherapy, social work, pharmacy, patient advocacy, psychology, and sociology. Results: The committee developed fundamental values, principles, and policy recommendations for integrating palliative care in serious respiratory illness care across seven domains: 1) delivery models, 2) comprehensive symptom assessment and management, 3) advance care planning and goals of care discussions, 4) caregiver support, 5) health disparities, 6) mass casualty events and emergency preparedness, and 7) research priorities. The recommendations encourage timely integration of palliative care, promote innovative primary and secondary or specialist palliative care delivery models, and advocate for research and policy initiatives to improve the availability and quality of palliative care for patients and their caregivers. Conclusions: This multisociety policy statement establishes a framework for early palliative care in serious respiratory illness and provides guidance for pulmonary-critical care clinicians and policymakers for its proactive integration.

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Published In

Am J Respir Crit Care Med

DOI

EISSN

1535-4970

Publication Date

September 15, 2022

Volume

206

Issue

6

Start / End Page

e44 / e69

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Respiratory System
  • Policy
  • Palliative Care
  • Humans
  • Continuity of Patient Care
  • Advance Care Planning
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Sullivan, D. R., Iyer, A. S., Enguidanos, S., Cox, C. E., Farquhar, M., Janssen, D. J. A., … Reinke, L. F. (2022). Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement. Am J Respir Crit Care Med, 206(6), e44–e69. https://doi.org/10.1164/rccm.202207-1262ST
Sullivan, Donald R., Anand S. Iyer, Susan Enguidanos, Christopher E. Cox, Morag Farquhar, Daisy J. A. Janssen, Kathleen O. Lindell, et al. “Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement.Am J Respir Crit Care Med 206, no. 6 (September 15, 2022): e44–69. https://doi.org/10.1164/rccm.202207-1262ST.
Sullivan DR, Iyer AS, Enguidanos S, Cox CE, Farquhar M, Janssen DJA, et al. Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement. Am J Respir Crit Care Med. 2022 Sep 15;206(6):e44–69.
Sullivan, Donald R., et al. “Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement.Am J Respir Crit Care Med, vol. 206, no. 6, Sept. 2022, pp. e44–69. Pubmed, doi:10.1164/rccm.202207-1262ST.
Sullivan DR, Iyer AS, Enguidanos S, Cox CE, Farquhar M, Janssen DJA, Lindell KO, Mularski RA, Smallwood N, Turnbull AE, Wilkinson AM, Courtright KR, Maddocks M, McPherson ML, Thornton JD, Campbell ML, Fasolino TK, Fogelman PM, Gershon L, Gershon T, Hartog C, Luther J, Meier DE, Nelson JE, Rabinowitz E, Rushton CH, Sloan DH, Kross EK, Reinke LF. Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement. Am J Respir Crit Care Med. 2022 Sep 15;206(6):e44–e69.

Published In

Am J Respir Crit Care Med

DOI

EISSN

1535-4970

Publication Date

September 15, 2022

Volume

206

Issue

6

Start / End Page

e44 / e69

Location

United States

Related Subject Headings

  • United States
  • Societies, Medical
  • Respiratory System
  • Policy
  • Palliative Care
  • Humans
  • Continuity of Patient Care
  • Advance Care Planning
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology