{"id":6598,"date":"2019-04-11T09:20:56","date_gmt":"2019-04-11T13:20:56","guid":{"rendered":"https:\/\/www.med.unc.edu\/aging\/?p=6598"},"modified":"2019-04-11T14:08:18","modified_gmt":"2019-04-11T18:08:18","slug":"palliative-care-on-the-rise-in-us-and-unc","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/aging\/palliative-care-on-the-rise-in-us-and-unc\/","title":{"rendered":"Palliative Care: On the Rise in US and UNC"},"content":{"rendered":"

Palliative care is specialized medical care to promote comfort and quality of life for people with serious illness \u2013 whatever the diagnosis or life expectancy \u2013 and to ensure that treatment aligns with patient goals and values.\u00a0Palliative care is on the rise in the US and here at UNC. The Division of Geriatric Medicine extends congratulations to Division faculty members Laura C. Hanson, MD, MPH, and Gary Winzelberg, MD, MPH, on Palliative Care Program expansion in the Department of Medicine.<\/p>\n

\"Laura
Laura C. Hanson, MD, MPH<\/figcaption><\/figure>\n

Hanson was recently named Director of the Department\u2019s Palliative Care Program, with Winzelberg as Associate Director. Together they will lead an expanding interdisciplinary program of palliative care services, teaching, and research that will reach every subspecialty in the Department.<\/p>\n

According to the Center to Advance Palliative Care, the rise in palliative care among health care providers and at hospitals has been steady over the past 16 years. In 2000, less than a quarter of US hospitals had a palliative care program, compared with three-quarters in 2016. Clinical palliative care services began at UNC Medical Center in 2001 with funding from UNC Hospitals and support from the Divisions of Geriatric Medicine and Hematology-Oncology.<\/p>\n

\u201cBoth Geriatric Medicine and Palliative Care are grounded in an approach that prioritizes the patient\u2019s goals and preferences, addresses physical needs along with psychological and social needs, and involves families and caregivers in a process that seeks to improve quality of life, no matter the patient\u2019s prognosis,\u201d says Chief of Geriatric Medicine and Center for Aging and Health Director Jan Busby-Whitehead, MD. \u201cPalliative care needs of older patients can be different from those of younger patients, but we share the goals of reducing burdensome interventions and hospitalizations at the end of life, while increasing the quality of end-of-life care.\u201d<\/p>\n

Dr. Hanson describes the additional layer of patient care and family support that palliative care provides.<\/p>\n

\u201cPalliative Care starts with good medicine \u2013 we must understand the pathophysiology, diagnoses, and treatment options for patients facing serious illness. But palliative care clinicians add careful assessment of the patient and family caregiver experience of illness \u2013 what is causing suffering and distress? What values and goals do they want to guide their medical treatment choices?\u00a0What allows the patient and family to experience quality of life while living with serious illness? From that assessment, we make recommendations to the primary team about ways the patient may become more comfortable, or live better in spite of a serious or incurable disease.\u201d<\/p><\/blockquote>\n

\"Gary
Gary Winzelberg, MD, MPH<\/figcaption><\/figure>Hanson says that new support from the UNC Health System, Hospital, and Department of Medicine will allow the Palliative Care Program to expand personnel and services, including a new administrative structure to facilitate care coordination for seriously ill patients across settings and emphasize the value-added aspects of clinical education, research, and program innovation.<\/p>\n

As to the discipline\u2019s expanded role in medicine, Hanson says: \u201cWithout question we are seeing increased interest in palliative medicine and\u00a0nursing. We currently train medical students and nurse practitioner students; we also routinely support rotations for Internal Medicine residents, and for Fellows in Geriatric Medicine and Oncology.\u00a0 Each year we train three Fellows in Hospice and Palliative Medicine, and we hope to expand opportunities for this specialty fellowship in the next few years.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Palliative care is specialized medical care to promote comfort and quality of life for people with serious illness \u2013 whatever the diagnosis or life expectancy \u2013 and to ensure that treatment aligns with patient goals and values.\u00a0Palliative care is on the rise in the US and here at UNC. The Division of Geriatric Medicine extends … Read more<\/a><\/p>\n","protected":false},"author":31116,"featured_media":6599,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[2],"tags":[93,92,90,91],"class_list":["post-6598","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-gary-winzelberg","tag-laura-c-hanson","tag-palliative-care","tag-unc-palliative-care-program","odd"],"acf":[],"yoast_head":"\nPalliative Care: On the Rise in US and UNC | Center for Aging and Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/aging\/palliative-care-on-the-rise-in-us-and-unc\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Palliative Care: On the Rise in US and UNC | Center for Aging and Health\" \/>\n<meta property=\"og:description\" content=\"Palliative care is specialized medical care to promote comfort and quality of life for people with serious illness \u2013 whatever the diagnosis or life expectancy \u2013 and to ensure that treatment aligns with patient goals and values.\u00a0Palliative care is on the rise in the US and here at UNC. 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