Affiliation:
1. University Medical Center Hamburg- Eppendorf
2. University Medical Center Goettingen
3. Hannover Medical School
Abstract
Abstract
Background
To develop an aide memoire for patients diagnosed with advanced non-oncological chronic diseases, the KOPAL conversation guide, to foster interprofessional counselling between GPs and specialist palliative home care teams.
Methods
As part of the multi-centre, two-arm, cluster randomised controlled KOPAL study, the draft of the conversation guide was discussed and consented in three focus groups with 4 patients, 7 health care providers, and 5 stakeholders.
Results
The final version of the KOPAL conversation guide contains eight key topics: living with the illness, physical situation, emotional situation, personal situation, social situation, information and communication, control and autonomy, emergency management. Each topic refers to different general points, which are listed on top of the respective thematic section. The conversation should start by addressing the patient’s today’s well-being and end by asking for the patient’s main topic based on the discussed issues.
Conclusions
The KOPAL conversation guide is a broad evaluation and communication tool that covers potential palliative care (PC) needs of non-oncological patients and provides a basis for interprofessional case planning and counselling. Applying the KOPAL conversation guide may help to bridge the communicative gap between general and specialist PC professionals and between professionals and patients.
Publisher
Research Square Platform LLC
Reference29 articles.
1. 1. Lynn J, Adamson DM. Living well at the end of life: adapting health care to serious chronic illness in old age. Santa Monica, CA: RAND; 2003.
2. 2. Dietl M, Korczak D. [Specialized pain care in Germany]. Schmerz Berl. Ger. 2013;27:123–8.
3. 3. Divo MJ, Martinez CH, Mannino DM. Ageing and the epidemiology of multimorbidity. Eur. Respir. J. 2014;44:1055–68.
4. 4. Becka D, Riese A, Rychlik RPT, Huenges B, Rusche H. General practitioners in palliative care in Germany. Dtsch Med Wochenschr 2014;139:2254–8.
5. 5. Davis MP, Temel JS, Balboni T, Glare P. A review of the trials which examine early integration of outpatient and home palliative care for patients with serious illnesses. Ann. Palliat. Med. 2015;4:99–121.