THE FIVE TRAJECTORIES

Supporting Patients During Serious IllnessJennifer Moore BallentineTHE five TRAJECTORIESWhat Is a Trajectory of Dying? TRAJECTORIES of dying were first articulated by researchers at the Institute of Medicine in the late 1990s as a conceptual framework for understanding the experience of illness and dying in America today. The TRAJECTORIES map the course of decline in terms of shape and duration the particular path the illness takes toward death and the speed with which it progresses (Field & Cassell, 1997). TRAJECTORIES are also often predictive, though not determinative, of where a patient will die, and they have significant influence over the opportunity for and timing of advance care planning and palliative or hospice care . Different TRAJECTORIES of illness require different preparations, coping strategies, and responses.

Feb 21, 2018 · and palliative support. This eBook will briefly explore the five trajectories and offer concrete suggestions for how advance care planning and palliative care can enhance patient autonomy and caregiver coping, informed decision making, better end-of-life preparation, and timely access to palliative services. Sudden Death Trajectory Case Study

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