Palliative care 2016

When should I ask for specialized care ?

Critical decision moments

Generalist care

Surprise question 1 year

Specialist care

Symptom-management (pro active)

Symptoms that are difficult to treat, complex or rare Hampered communication eg. treatment goals Shortcomings in knowledge and experience of generalists

Considering yes / no disease modifying treatments

Council and advise

(multidisciplinairy)

Symptom control phase

Inform GP + coordinate care

Admittance for symptom management

Start dying phase

After care

Death