Patient and family involvement in hospice interdisciplinary teams

Hospice programs rely on interdisciplinary team (IDT) collaboration in the delivery of quality care at the end of life. The hospice philosophy advocates patient autonomy in decision making, and treatment of the patient and family as a unit of care. Including patients and families in IDT meetings reg...

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Bibliographic Details
Published in:Journal of palliative care 2005-12, Vol.21 (4), p.270-276
Main Authors: Parker Oliver, Debra, Porock, Davina, Demiris, George, Courtney, Karen
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Communication
Cooperative Behavior
Evaluation Studies as Topic
Family - psychology
Holistic Health
Hospice care
Hospice Care - organization & administration
Hospice Care - psychology
Humans
Interdisciplinary approach
Interprofessional Relations
Medical personnel
Meetings
Midwestern United States
Models, Organizational
Nurse Administrators - psychology
Nursing Methodology Research
Nursing Staff - psychology
Outcome and Process Assessment (Health Care)
Patient Care Planning - organization & administration
Patient Care Team - organization & administration
Patient Participation - methods
Patient Participation - psychology
Patient-Centered Care - organization & administration
Patients
Philosophy, Medical
Social Work
Surveys and Questionnaires
Teams
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Summary:Hospice programs rely on interdisciplinary team (IDT) collaboration in the delivery of quality care at the end of life. The hospice philosophy advocates patient autonomy in decision making, and treatment of the patient and family as a unit of care. Including patients and families in IDT meetings regarding their care is a logical corollary of this philosophy. Hospice professionals in one Midwestern US state were interviewed by phone to determine the extent of patient and family involvement in their IDT meetings. A few programs had direct experience with patients and families attending IDT meetings, but attendance was not routine. Better communication was recognized as a potential benefit. The patient's frailty and the burdens of caregiving for the family were noted challenges to participation. Video-mediated communication is offered as a potential solution.
ISSN:0825-8597
2369-5293
DOI:10.1177/082585970502100406