In 2020, nearly 90% of 55 million United States (US) adults aged 65+ had at least one chronic condition, and 60% had at least two. Older adults with multimorbidity have increased risk for mortality, functional decline, and poor quality of life. Poorly managed chronic conditions are characterized by decreased functional status and independence, high symptom burden, and frequent emergency department visits and hospitalizations. These seriously ill individuals may benefit from additional supportive care.
Palliative care is specialized care for people with serious or life-limiting illnesses offered in inpatient or outpatient settings. Community-based palliative care (“palliative care”), offered in outpatient settings such as doctor’s offices, clinics, or patient residences, can support seriously ill individuals to manage symptoms associated with illness, reduce acute care utilization, and improve patient and family quality-of-life. It can positively impact family and patient stress and mood and promote feelings of empowerment to overcome illness-related challenges. However, it is difficult to differentiate individuals who are seriously ill and eligible for palliative care from those with well-managed chronic conditions. To read the full article.
Please read Dr. Luth’s article in American Journal of Hospice & Palliative Medicine titled, “Making Community-Based Palliative Care Eligibility Determinations: Palliative Care Team Member Perspectives on Access to Information and Algorithm Use.“