Communication and Collaborative Practice in the Palliative Context
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Introduction
Palliative care, as you saw in the previous chapter of this module, is fundamentally multidisciplinary in nature. This means that professionals from various disciplines collaborate to care for a single patient and their family. Communication is essential for multidisciplinary teams to provide effective palliative care, both within the team and between the team and the patient and their family. This chapter will look at communication and collaborative practice in the palliative care setting. This chapter begins with an overview of the palliative care multidisciplinary context. It then moves on to discuss the various barriers to effective communication in the palliative setting, the difficult communication situations that nurses working in this setting may face, and the facilitative skills nurses can use to improve their communication with patients and their families. Finally, this unit looks at the key palliative care planning documentation that can be used to support and improve communication and collaborative practice in the palliative setting.
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Palliative care is multidisciplinary in nature.
Palliative care, as you saw in the previous chapter of this module, is fundamentally multidisciplinary in nature. This means professionals from a range of disciplines work collaboratively to provide care to a single patient and their family. Remember that palliative care professionals include general and specialist nurses and doctors, allied health practitioners (e.g. pharmacists, physiotherapists, social workers, etc.), counsellors / psychologists, hospice staff, respite staff, grief / bereavement workers, chaplains and complementary therapists, and others. When planning and providing palliative care, each of these professionals has different (though often overlapping) roles and responsibilities; consider the following case study:
QUESTION
Communication and Collaborative Practice in the Palliative Context