No / Sheila Payne and colleagues examine the differences and similarities in end-of-life care provided in different countries which, while broadly based on the same models, varies according to resources, cultural attitudes and public health policies This article introduces palliative care and palliative care nursing. It goes on to consider models of palliative care delivery and provide a more detailed account of the three elements of palliative care nursing–working directly with patients and families, working with other health and social care professionals to network and co-ordinate services, and working at an organisational level to plan, develop and manage service provision in local, regional and national settings. It concludes by detailing the challenges for palliative care nursing and outlines a possible way ahead.

Hospital-based specialist palliative care services are designed to address the needs of critically ill patients by psychosocial and spiritual support, improving symptoms management, and offering discussions on goals of care. Integrating palliative care upstream in the care continuum for patients who eventually die in the hospital will help to address the many individualistic needs of the critically ill patient. The diffusion of specialist hospital-based palliative care services requires an understanding of patterns of utilization by patients. The purpose of this study was to examine the population characteristics of decedents who may or may not have utilized specialist palliative care services in a hospital setting in order to develop a model of predictors of access to specialist palliative care services. The basic constructs of this study are grounded in the Behavioral Model of Health Services Use. Potential access is measured in terms of population characteristics, which include predisposing characteristics, enabling resources, and evaluated need. Building on this theoretical model, the study sought to better understand equitable and inequitable access to specialized palliative care services and to define which predictors of realized access were dominant. The research question asked was: What are predictors of access to specialized palliative care within a large urban public teaching hospital? A model of access to a palliative consult and a predictor of access to a palliative care unit were explored. Findings from this study revealed that factors encouraging access to a palliative care consult include older age, White non-Hispanic ethnic membership, a diagnosis with solid cancer and insurance. Factors encouraging access to a palliative care unit include older age, gender (female), insurance, and either a solid cancer or hematologic malignancy diagnosis.

Palliative care is one of the crucial services provided by social workers to improve the quality of life of people suffering from life-threatening illnesses. It is an inter-disciplinary medical care giving approach which focuses on relieving symptoms and stress of life threatening illness. To my knowledge there is limited guidelines on how social workers should intervene in providing palliative care services. Therefore, this study will the explore experiences of social workers in rendering palliative care services to people faced with life-threatening illnesses. The study will follow a qualitative research approach. Purposive and snowball sampling will be employed to frame the sample of social workers who render palliative care services. Ethical issues regarding informed consent, confidentiality/anonymity and management of information will be considered and attended to. Data will be collected through semi structured interviews and analysed in terms of Tesch eight steps. The Guba and Lincoln’s model will be employed for data verification (Lincoln and Guba in Schurink, Fouché and de Vos 2011:419-421). / Social Work / M.A. (Social Work)