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Journal of Applied Gerontology
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What's this?

An Insight Into the Delivery of a Palliative Approach in Residential Aged Care

The General Practitioner Perspective

Jane Phillips

Cancer Australia, Canberra, Australia, jane.phillips{at}canceraustralia.gov.au

Patricia M. Davidson

Curtin University of Technology, Sydney, Australia

Simon Willcock

University of Sydney, Australia

Managing the complex care needs of older people is a global concern. General practitioners (GPs) play a pivotal role in aged care, yet little is known about their capacity to provide palliative care in nursing homes. This study aimed to investigate GPs' perceptions and understanding of a palliative approach. A convenience sample of rural GPs (n = 13) participated in a series of three focus groups undertaken in August, 2005. These focus groups were all audio-taped, transcribed, and analyzed using thematic content analysis. Four key themes emerged: uncertainty about a palliative approach, a need to reorientate providers, the challenges of managing third parties, and making it work and moving forward. These preliminary findings suggest that integrating a palliative approach in aged care requires GPs to have a greater awareness of this paradigm and to be more effectively engaged in multidisciplinary care planning.

Key Words: aging • palliative care • multidisciplinary care • general practice

This version was published on June 1, 2009

Journal of Applied Gerontology, Vol. 28, No. 3, 395-405 (2009)
DOI: 10.1177/0733464808328607
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