The Erie St. Clair End-of-Life Care Network enables the shared expertise, experience and resources of formal health care provicers across the region, working towards a high quality, collaborative and consistent continuum of care

What is Hospice Palliative Care?

HPC provides physical, psychological, social, spiritual and practical support to people living with progressive, life-threatening illnesses and their loved ones. Q & A

 

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Conceptual Model

Providing Hospice Palliative Care (HPC) in Erie St. Clair - Conceptual Model and Foundational Concepts

This model was developed for the Erie St. Clair End-of-Life Care Network (ESC EOLCN), by Beth Lambie—Director ESC EOLCN (Sept.2008, revised Dec. 2008, Jan. 2009). It incorporates and synthesizes concepts, design and content from a number of sources; combining this work with the experience and thinking of members of the ESC EOLCN.

This conceptual model incorporates and illustrates four foundational concepts related to Service Provision of Hospice Palliative Care. These concepts are distilled from the CHPCA Model of Care

Foundational Concepts related to HPC Service Provision

Four foundational concepts, relating to HPC Service Provision, form the backdrop for the Conceptual Model and for the System Design Framework in Erie St. Clair.

1. Many care settings and services are required.
2. Both Specialists and Primary Level Providers are needed (Specialist care is typically subdivided into two levels – Secondary and Tertiary).
 
  • The majority of HPC needs are met by Primary Care providers.
 
  • Consultation Models are required to link primary and specialist level care providers throughout the patients HPC journey. These consultation models may include: Consultation only; Consultation and Shared Care (with or without repeat consultation); Consultation and Care Provision (by specialist as Most Responsible Provider) or any number of other consultation models negotiated by the specialist and primary care provider on a case by case basis).
3. Every care setting/service, caring for dying patients requires access to Specialist Level Hospice Palliative Care expertise (in addition to Primary Level Providers).
 
  • Access to expertise may be “in-house” or external.
4. Teamwork is essential - Collaborative Care / Interdisciplinary Care involves more than one profession. (Teamwork is important within the primary care team and within the specialist level team).
  • Palliative Care Consultation Teams (PCCT) are a preferred approach to delivering HPC.
 
 
 
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