Hospice & Palliative Care

October 8-9, 2009

Christian Sinclair, MD, FAAHPM

Kansas City Hospice & Palliative Care

90 million Americans are livingwith a life-threatening illness…

And the number is expectedto double in the next 25 years.

Hospice & Palliative Care

Symptom Control

System Efficiency

Medication PrioritizationCommunication

Informed Consent

Trans-disciplinary Team

Physician

Nurse

Volunteer

Chaplain

Social Worker

Pharmacist

What’s The Difference?

Palliative Care

Hospice

1512

3

2

1

1

• Embracing palliative care– Or supportive care (either name)

• Endorsed a new policy statement

Reduces Medicare Costs

Resources

• AAHPM – www.aahpm.org

• NHPCO – www.nhpco.org

• MHPCA – www.mhpca.org

• Pallimed – www.pallimed.org

• CAPC – www.capc.org

• ASCO – www.asco.org

References

• NHPCO Facts and Figures: Hospice Care in America. Alexandria, VA: National Hospice and Palliative Care Organization, October 2008. http://bit.ly/5YNAh

• Center to Advanced Palliative Care. http://www.capc.org/reportcard/

• D.H. Taylor Jr et al. / Social Science & Medicine 65 (2007) 1466–1478. http://bit.ly/bClPN

References

• Haiden A. Huskamp; Nancy L. Keating; Jennifer L. Malin; Alan M. Zaslavsky; Jane C. Weeks; Craig C. Earle; Joan M. Teno; Beth A. Virnig; Katherine L. Kahn; Yulei He; John Z. Ayanian Discussions With Physicians About Hospice Among Patients With Metastatic Lung Cancer Arch Intern Med. 2009;169(10):954-962.

• S. Kao , J. Shafiq , J. Vardy , and D. Adams Use of chemotherapy at end of life in oncology patients Annals of Oncology Advance Access published on September 1, 2009, DOI 10.1093/annonc/mdp027.Ann Oncol 20: 1555-1559.

• Fadul, N., Elsayem, A., Palmer, J., Del Fabbro, E., Swint, K., Li, Z., Poulter, V., & Bruera, E. (2009). Supportive versus palliative care: What's in a name? Cancer DOI: 10.1002/cncr.24206

• Salz, Talya, Brewer, Noel T. Offering Chemotherapy and Hospice Jointly: One Solution to Hospice Underuse Med Decis Making 2009 29: 521-531

Contact Information

• Christian Sinclair, MD– Kansas City Hospice & Palliative Care

• Email: csinclair@kchospice.org

• Twitter: @ctsinclair

• Find me on LinkedIn