A collaborative nursing model for advanced non-malignant disease

Abstract

This article reviews the arguments for and against specialist palliative care for patients with advanced non-malignant disease. It argues the case for a collaborative model of education to develop the skills of specialist nurses so that they can better care for such patients. A clinically based collaborative nursing model of palliative care, which has not been derived from current cancer models, has also been developed. In addition, a brief overview of the current provision of care for cancer patients is given, since it is against this background that care for patients with advanced non-malignant disease will be developed.

Professionals delivering palliative care to people with COPD: qualitative study

“…Others cite lack of confidence and time, difficulties in communication, resources and fragmented coordination between services. 14,[24][25][26] Research suggests that the professional's confusion and negative attitudes to palliative care services [27][28][29] might lead to their viewing hospice care and palliative care as synonymous. 29 Hence the objective of this study was to determine whether professionals felt patients had palliative care needs and to develop an insight into the barriers faced by health and social care professionals in delivering palliative care to patients with advanced COPD.…”

Palliative Care in Non-Malignant Diseases

“…As long as clear criteria exist to govern service use, the unpredictable disease trajectory of some non-malignant conditions should not be a barrier to accessing support. 30 Finally, most of the specialist palliative care services in the UK are provided by the voluntary sector. Some services are predominantly funded by specific cancer-focused charities, such as Macmillan Cancer Relief and Marie Curie Cancer Care.…”