Palliative Care Models in Long-Term Care: A Scoping Review

Abstract

Objective: The goal of this scoping review was to identify existing palliative models in long-term care (LTC) homes and differentiate between the key components of each in terms of training/capacity-building strategies; resident, family and staff support; and advance care planning (ACP) and goals-of-care discussions. Methods: We conducted a scoping review based on established methods to summa-rize the international literature on palliative models and programs for LTC. We analyzed the data using tabular summaries and content analysis. Results: We extracted data from 46 articles related to palliative programs, training/ capacity building, family support, ACP and goals of care. Study results highlighted that three key components are needed in a palliative program in LTC: (1) training and capacity building; (2) support for residents, family and staff; and (3) ACP, goals-of-care discussion and informed consent. Conclusion: This scoping review provided important information about key components to be included in a palliative program in LTC. Future work is needed to develop a model that suits the unique characteristics in the Canadian context.