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Timely identification of palliative patients and anticipatory care planning by GPs: Practical application of tools and a training programme

Thoonsen, Bregje; Groot, Marieke; Verhagen, Stans; van Weel, Chris; Vissers, Kris C.; Engels, Yvonne

Description

Background: Palliative care is mainly restricted to terminal care. General practitioners (GPs) are not trained to early identify palliative patients with cancer, COPD or heart failure. With the help of the RADboud indicators for PAlliative Care needs (RADPAC), we trained GPs to identify patients’ needs and to make a proactive care plan. They were also able to join two role-plays where they discussed the patient’s future, and consulted a palliative care consultant to fine-tune the care plan....[Show more]

dc.contributor.authorThoonsen, Bregje
dc.contributor.authorGroot, Marieke
dc.contributor.authorVerhagen, Stans
dc.contributor.authorvan Weel, Chris
dc.contributor.authorVissers, Kris C.
dc.contributor.authorEngels, Yvonne
dc.date.accessioned2018-11-29T22:55:13Z
dc.date.available2018-11-29T22:55:13Z
dc.identifier.issn1472-684X
dc.identifier.urihttp://hdl.handle.net/1885/153091
dc.description.abstractBackground: Palliative care is mainly restricted to terminal care. General practitioners (GPs) are not trained to early identify palliative patients with cancer, COPD or heart failure. With the help of the RADboud indicators for PAlliative Care needs (RADPAC), we trained GPs to identify patients’ needs and to make a proactive care plan. They were also able to join two role-plays where they discussed the patient’s future, and consulted a palliative care consultant to fine-tune the care plan. We evaluated the programme with the GPs and consultants and noted its impact on their daily practice. Methods: Two years after they had participated in the programme, we held semi-structured interviews with the GPs and a focus group interview with the consultants and performed a thematic content analysis. Results: Six consultants and nine GPs participated in the programme. Most GPs and consultants mentioned positive changes in the thinking or acting of GPs regarding early palliative care. A number continued to use the tool to identify patients; most of the others noted they had internalised the indicators. Although half of them still considered discussing end-of-life aspects difficult, part icularly in patients with organ failure, the others were more easily able to discuss the future with their palliative patients. Conclusion: Although most GPs and consultants were positive about the training programme and applying it in daily practice, we conclude that in future programmes, more attention needs to paid to timely identification of palliative patients with COPD or CHF and how to discuss the future with them.
dc.format.mimetypeapplication/pdf
dc.publisherBioMed Central
dc.sourceBMC Palliative Care
dc.subjectTimely palliative care
dc.subjectAnticipatory
dc.subjectGeneral practitioner
dc.subjectTraining
dc.subjectIdentification
dc.subjectCancer
dc.subjectCOPD
dc.subjectCHF
dc.titleTimely identification of palliative patients and anticipatory care planning by GPs: Practical application of tools and a training programme
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume15
dc.date.issued2016
local.identifier.absfor111701 - Aboriginal and Torres Strait Islander Health
local.identifier.absfor111717 - Primary Health Care
local.identifier.absfor160104 - Social and Cultural Anthropology
local.identifier.ariespublicationU3488905xPUB15748
local.type.statusPublished Version
local.contributor.affiliationThoonsen, Bregje, Radboud University Nijmegen Medical Centre
local.contributor.affiliationGroot, Marieke, Radboud University Nijmegen Medical Centre
local.contributor.affiliationVerhagen, Stans, Radboud University Nijmegen Medical Centre
local.contributor.affiliationVan Weel, Chris, College of Health and Medicine, ANU
local.contributor.affiliationVissers, Kris C., Radboud University Nijmegen Medical Centre
local.contributor.affiliationEngels, Yvonne, Radboud University Nijmegen Medical Centre
local.bibliographicCitation.issue1
local.identifier.doi10.1186/s12904-016-0112-9
local.identifier.absseo920204 - Evaluation of Health Outcomes
dc.date.updated2018-11-29T08:05:11Z
local.identifier.scopusID2-s2.0-84962762058
local.identifier.thomsonID000373604700001
dcterms.accessRightsOpen Access
CollectionsANU Research Publications

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