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Coordinating With Professional Palliative Care Teams

Palliative Care

Updated 06-01-2024

Coordinating With Professional Palliative Care Teams

Palliative care is an approach that enhances the quality of life of patients and their families who are facing problems associated with life-limiting illness, through the prevention and relief of suffering by means of early identification, impeccable assessment, and treatment of pain and other problems—physical, psychosocial, and spiritual. In Australia, where an ageing population and the burden of chronic disease are on the rise, coordinating with professional palliative care teams has become an integral aspect of comprehensive health care.

Understanding Palliative Care

Before diving into the nuances of coordination, it is critical to understand what palliative care entails. It is a multidisciplinary approach that involves a range of specialists including doctors, nurses, social workers, and therapists who work together to provide a support system to help the patient live as actively as possible until death. It is not restricted to the end of life but is appropriate across the spectrum of illness, even alongside curative treatments.

The Importance of Multidisciplinary Teams

Key in palliative care is the concept of a multidisciplinary team (MDT). A successful MDT is made up of health care providers with varied expertise who collaborate to formulate and implement a plan of care tailored to the specific needs of the patient. Coordinating with these teams is vital because it ensures that the complex needs of palliative patients are met, and that the care provided is continuous and consistent.

The Role of Care Coordinators

In coordinating with professional palliative care teams, the role of care coordinators cannot be overstated. They act as the bridge between the patient, family, and the various health care providers. These professionals are skilled at navigating the health care system and can swiftly assemble resources and services to address the needs and preferences of the patient.

Assessment and Planning

A meticulous assessment forms the bedrock of effective palliative care. Professional teams employ comprehensive evaluations that cover physical symptoms, emotional well-being, spiritual beliefs, and social factors that might impact the quality of life. Following the assessment, an individualised care plan is formulated, which sets out goals and interventions based on the patient's values and desires.

Communication: The Heart of Coordination

Effective communication amongst the MDT and with the patient and family is the heartbeat of palliative care coordination. Regular multidisciplinary meetings facilitate an exchange of information that allows each member to contribute their expertise to the evolving needs of the patient.

Shared Decision Making

Integral to palliative care is the concept of shared decision making, where patients and their families are active participants in the care process. Information should be conveyed in a sensitive and transparent manner, enabling informed choices about treatment options and care preferences.

Pain and Symptom Management

At the forefront of palliative care is the management of pain and other distressing symptoms. Skilled palliative care specialists are adept at using a combination of medications, therapies, and interventions to provide relief. This proactive symptom management empowers patients to maintain an optimal level of function and comfort.

Supporting Families and Caregivers

The provision of palliative care extends to offering support to families and caregivers. Professional teams provide education, emotional support, and practical assistance, acknowledging the essential role these individuals play in the care continuum.

Educational and Supportive Services

Palliative care teams also deliver educational resources to patients, families, and other healthcare providers. This includes information on illness trajectories, advanced care planning, and available community supports. Support groups, bereavement counselling, and other supportive services play a crucial part in addressing the holistic needs of those affected.

The Continuum of Care

Effective coordination ensures that palliative care is seamlessly integrated into the patient's journey, irrespective of changes in care settings or transitions between providers. It is crucial to have protocols that safeguard the continuity of care during hospital admissions, transfers to palliative care units, or when care is provided at home.

Legislation and Policy

In Australia, the development of policies and legislation that underline the commitment to quality palliative care is imperative. Healthcare professionals must stay abreast of national frameworks and standards to ensure care is delivered in accordance with the highest benchmarks.

Quality Improvement and Research

Continuous quality improvement and research underpin the delivery of exemplary palliative care. Professional teams engage in ongoing evaluation of their practice, adopting an evidence-based approach and contributing to research that strives for advancements in care.


Coordinating with professional palliative care teams requires a deeply collaborative approach that centres on the patient's needs and preferences. It should be an embodiment of compassion, grounded in expert knowledge and a commitment to holistic care. This coordination ultimately ensures that individuals facing life-limiting illnesses in Australia receive the highest standard of care, aimed at improving quality of life and providing support every step of the way.

About the Author

Olivia is a seasoned professional with an extensive career spanning the Aged Care sector, bringing decades of experience to her role. Her comprehensive understanding of Aged Care services and practices is a testament to her dedication. Olivia’s gratitude extends to those who have generously shared their knowledge and insights with her over the years, contributing to her wealth of expertise.
Olivia’s articles reflect her commitment to practical and informative content. They skillfully combine her industry know-how with real-world insights, providing valuable resources for navigating the complexities of the Aged Care sector. Olivia stands as a reliable advocate for delivering compassionate and effective care to elderly individuals, offering her support not only to fellow caregivers and professionals but also to those seeking to gain a deeper understanding of the sector.

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