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  • Foreword
  • Table of Contents

    Foreword

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    i

    Palliative Care

    i

    History of the National Consensus Project’s Guidelines

    iii

    NCP Guidelines, 4th edition

    v

    Introduction to the 4th edition

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    viii

    Summary of Key Revisions in Each Decision-Making

    viii

    Systematic Review of Key Research Evidence

    ix

    Key Concepts / Definitions

    ix

    Using the NCP Guidelines

    x

    Conclusion

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    xi

    Acknowledgments

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    xii

    Domain 1: Structure and Processes of Care

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    1

    Guideline 1 .1 Interdisciplinary Team

    1

    Guideline 1 .2 Comprehensive Palliative Care Assessment

    2

    Guideline 1 .3 Palliative Care Plan

    3

    Guideline 1 .4 Continuity of Palliative Care

    5

    Guideline 1 .5 Care Settings

    5

    Guideline 1 .6 Interdisciplinary Team Education

    6

    Guideline 1 .7 Coordination of Care and Care Transitions

    7

    Guideline 1 .8 Emotional Support to the Interdisciplinary Team

    7

    Guideline 1 .9 Continuous Quality Improvement

    7

    Guideline 1 .10 Stability, Sustainability, and Growth

    8

    Clinical and Operational Implications

    8

    Essential Palliative Care Skills Needed by All Clinicians

    9

    Key Research Evidence

    9

    Practice Examples

    9

    Domain 2: Physical Aspects of Care

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    13

    Guideline 2 .1 Global

    13

    Guideline 2 .2 Screening and Assessment .

    14

    Guideline 2 .3 Treatment

    14

    Guideline 2 .4 Ongoing Care

    15

    Clinical and Operational Implications

    16

    Essential Palliative Care Skills Needed by All Clinicians

    16

    Key Research Evidence

    16

    Practice Examples

    17

    Domain 3: Psychological and Psychiatric Aspects of Care

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    20

    Guideline 3 .1 Global

    20

    Guideline 3 .2 Screening and Assessment

    21

    Guideline 3 .3 Treatment

    22

    Guideline 3 .4 Ongoing Care

    23

    Clinical and Operational Implications

    23

    Essential Palliative Care Skills Needed by All Clinicians

    23

    Key Research Evidence

    24

    Practice Examples

    24

    Domain 4: Social Aspects of Care

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    26

    Guideline 4.1 Global

    26

    Guideline 4.2 Screening and Assessment

    27

    Guideline 4.3 Treatment

    28

    Guideline 4.4 Ongoing Care

    28

    Clinical and Operational Implications

    29

    Essential Palliative Care Skills Needed by All Clinicians

    29

    Key Research Evidence

    29

    Practice Examples

    30

    Domain 5: Spiritual, Religious, and Existential Aspects of Care

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    32

    Guideline 5.1 Global

    32

    Guideline 5.2 Screening and Assessment

    33

    Guideline 5.3 Treatment

    34

    Guideline 5.4 Ongoing Care

    34

    Clinical and Operational Implications

    35

    Essential Palliative Care Skills Needed by All Clinicians

    35

    Key Research Evidence

    35

    Practice Examples

    35

    Domain 6: Cultural Aspects of Care

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    38

    Guideline 6.1 Global

    38

    Guideline 6.2 Communication and Language

    39

    Guideline 6.3 Screening and Assessment

    40

    Guideline 6.4 Treatment

    41

    Clinical and Operational Implications

    42

    Essential Palliative Care Skills Needed by All Clinicians

    42

    Key Research Evidence

    42

    Practice Examples

    43

    Domain 7: Care of the Patient Nearing the End of Life

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    45

    Guideline 7.1 Interdisciplinary Team

    45

    Guideline 7.2 Screening and Assessment

    46

    Guideline 7.3 Treatment Prior to Death

    47

    Guideline 7.4 Treatment During the Dying Process and Immediately After Death

    47

    Guideline 7.5 Bereavement

    48

    Clinical and Operational Implications

    49

    Essential Palliative Care Skills Needed by All Clinicians

    49

    Key Research Evidence

    50

    Practice Examples

    50

    Domain 8: Ethical and Legal Aspects of Care

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    52

    Guideline 8.1 Global

    52

    Guideline 8.2 Legal Considerations

    53

    Guideline 8.3 Screening and Assessment

    55

    Guideline 8.4 Treatment and Ongoing Decision-Making

    56

    Clinical and Operational Implications

    57

    Essential Palliative Care Skills Needed by All Clinicians

    57

    Key Research Evidence

    57

    Practice Examples

    57

    Appendix I: Glossary

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    60

    Appendix II: Tools and Resources

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    70

    Domain 1: Structure and Processes of Care

    70

    Domain 2: Physical Aspects of Care

    71

    Domain 3: Psychological and Psychiatric Aspects of Care

    74

    Domain 4: Social Aspects of Care

    75

    Domain 5: Spiritual, Religious, and Existential Aspects of Care

    76

    Domain 6: Cultural Aspects of Care

    77

    Domain 7: Care of the Patient Nearing the End of Life

    78

    Domain 8: Ethical and Legal Aspects of Care

    79

    Appendix III: Contributors

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    85

    Appendix IV: Scoping Review

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    87

    Scoping Review Methodology

    87

    Review and Inclusion Process

    90

    Domain 1: Structure and Processes of Care

    90

    Domain 2: Physical Aspects of Care

    113

    Domain 3: Psychological and Psychiatric Aspects of Care

    126

    Domain 4: Social Aspects of Care

    132

    Domain 5: Spiritual, Religious, and Existential Aspects of Care

    136

    Domain 6: Cultural Aspects of Care

    142

    Domain 7: Care of the Patient Nearing the End of Life

    152

    Domain 8: Ethical and Legal Aspects of Care

    158

    Appendix V: Endorsing and Supporting Organizations

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    165