1. What is the definition of palliative care according to the World Health Organization (WHO)?
- Palliative care is an approach that improves the quality of life of patients and their families facing the
problems associated with life-threatening illness, through the prevention and relief of suffering by means of
early identification and impeccable assessment and treatment of pain and other problems, physical,
psychosocial and spiritual.
2. What are the main differences between geriatric medicine and palliative care?
- Geriatric medicine focuses on the comprehensive assessment and management of older adults with
multiple chronic conditions, functional decline, frailty, cognitive impairment and polypharmacy. Palliative
care focuses on the relief of suffering and enhancement of quality of life for patients with serious, advanced
and life-limiting illnesses, regardless of age or prognosis.
3. What are the key principles of geriatric palliative care (GPC)?
- GPC is a field of inter-specialty collaboration that integrates competences from geriatric medicine and
palliative care to address the needs of older adults with severe and life-limiting conditions. The key
principles of GPC are: person-centeredness, goal-oriented care, interdisciplinary teamwork, symptom
management, advance care planning, family support, continuity of care and end-of-life care.
4. What are some of the common symptoms that older adults with serious illnesses experience and require
palliative care interventions?
- Some of the common symptoms that older adults with serious illnesses experience are: pain, dyspnea,
fatigue, nausea, vomiting, constipation, diarrhea, anorexia, cachexia, delirium, depression, anxiety, insomnia
and spiritual distress. Palliative care interventions aim to assess and treat these symptoms using
pharmacological and non-pharmacological approaches, as well as addressing the underlying causes and
contributing factors.
5. What are some of the tools or instruments that can be used to assess the palliative care needs of older
adults?
- Some of the tools or instruments that can be used to assess the palliative care needs of older adults are:
Palliative Performance Scale (PPS), Edmonton Symptom Assessment System (ESAS), Palliative Care
Outcome Scale (POS), Functional Assessment of Chronic Illness Therapy-Palliative Care (FACIT-Pal),
McGill Quality of Life Questionnaire (MQOL), Brief Pain Inventory (BPI), Hospital Anxiety and
Depression Scale (HADS), Confusion Assessment Method (CAM), Mini-Mental State Examination
(MMSE) and SPICTTM (Supportive and Palliative Care Indicators Tool).
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