Palliative Care for the Elderly:A Japanese Perspective

Contemporary and Innovative Practice in Palliative Care ◽

10.5772/30767 ◽

2012 ◽

Cited By ~ 2

Author(s):

Yoshihisa Hirakawa

Keyword(s):

Palliative Care ◽

Japanese Perspective

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Integration of oncology and palliative care: less-mentioned issues and a Japanese perspective

The Lancet Oncology ◽

10.1016/s1470-2045(18)30486-8 ◽

2018 ◽

Vol 19 (11) ◽

pp. e570-e571

Author(s):

Yu Uneno ◽

Manabu Muto ◽

Tatsuya Morita

Keyword(s):

Palliative Care ◽

Japanese Perspective

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Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

American Journal of Speech-Language Pathology ◽

10.1044/2019_ajslp-18-0207 ◽

2019 ◽

Vol 28 (3) ◽

pp. 1356-1362

Author(s):

Laurence Tan Lean Chin ◽

Yu Jun Lim ◽

Wan Ling Choo

Keyword(s):

Palliative Care ◽

End Of Life ◽

Multidisciplinary Team ◽

Biopsychosocial Model ◽

Family Members ◽

Clinical Decisions ◽

Goals Of Care ◽

Complex Needs ◽

Aspiration Risk ◽

Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

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