All About Improving Quality of Life

Palliative Care

Palliative care is an approach for providing care to patients and families affected by serious illnesses, including Parkinson’s disease. Basic palliative care support can be provided by a wide-range of healthcare professionals while more complex and intensive support may require the input of palliative care specialists.

It is an approach that sees the person beyond the disease.

Palliative care provides an extra layer of support and aims to relieve suffering through managing and addressing the following:
  • Complex medical symptoms
  • Difficult emotions and social support
  • Spiritual well-being
  • Guidance for the present and future
  • Support for family and care partners

Benefits of Palliative Care

Palliative care is about living. Nurses, social workers, study coordinators, chaplains and pharmacists are working to improve whole person and family care. Receiving palliative care helps:

Provide an extra layer of support.
You can have high quality of life while getting treatment for a serious illness, such as Parkinson’s disease.
You live well while living with Parkinson’s disease.
You are able to continue to reside in your home longer and get the best medical care.
At any stage of a serious illness, beginning at diagnosis.
Ask for help with current issues and prepare for the future.
Improve how your doctors talk to each other.
Are you getting different messages from your doctors? Palliative care can help.
Offer a team for all your concerns.
When you’re living with a serious illness like PD.

Palliative care allows the patient to participate in customizing a plan for their future health. Working with a team of specialists and caretakers who understand and treat PD can help better manage a person’s symptoms, increasing their quality of life. The palliative approach creates opportunities for patients to get more out of their visits with doctors and other healthcare professionals as they are experiencing more sensitive and personalized support.

The palliative approach offers a structured pathway for healthcare providers to deliver tailored care at various stages of a patient's journey. At the first tier, emphasis is placed on screening and preventative measures as well as routine palliative care interventions, ensuring early identification and management of symptoms to enhance quality of life. As needs evolve, the second tier comes into play, activating palliative care interventions in response to emergent requirements, providing timely support and relief. Finally, the third tier focuses on end-of-life and complex palliative needs, offering specialized care and support to patients and their families during the most challenging stages of their illness

Palliative Care Can Help with your Unmet Needs

What is palliative care?

A holistic approach to care focused on improving quality of life starting at diagnosis. It supports patients and families in managing challenging symptoms, difficult emotions, spiritual wellbeing, social connections, and preparing for the future. Basic palliative care support can be provided by a wide-range of healthcare professionals while more complex and intensive support may require the input of palliative care specialists.

Is palliative care the same as hospice?

It's a misconception that palliative care is the same thing as hospice. Hospice is a specific type of palliative care for people nearing the end of life and provides support to help people live at home in comfort and dignity. Importantly, people can receive other forms of palliative care from the time of diagnosis onwards depending on their needs.

When should you consider palliative care?

The palliative care approach has something to offer people at every stage of illness . This can include getting help with difficult symptoms, preparing for the future, or improving coordination of care. Getting early palliative care can be thought of as similar to getting an umbrella  before you need it (and before you get wet).

Figure.  Illustrated Metaphor of Late vs Early Palliative Care. Read JAMA Article
Zimmermann C, Mathews J. Palliative Care Is the Umbrella, Not the Rain—A Metaphor to Guide Conversations in Advanced Cancer. JAMA Oncol. 2022;8(5):681–682. doi:10.1001/jamaoncol.2021.8210

Benefits of palliative care:

Palliative care can help with many issues common in Parkinson’s disease including: 1) Treating nonmotor symptoms like pain and fatigue; 2) Providing support for family carers; 3) Attending to difficult emotions and spiritual challenges; 4) Providing guidance to prepare for the future; and 5) Coordinating care in difficult or complex situations.

How does palliative care differ from standard care for PD?

Standard care for PD focuses on the motor symptoms of PD, and occasionally provides support for nonmotor symptoms. Palliative care provides complementary care to help with planning for the future, addressing nonmotor symptoms, supporting family carers, and promoting spiritual and emotional wellbeing.

Is palliative care only for cancer patients?

No, palliative care is not exclusive to cancer patients. While it is often associated with cancer care, palliative services are beneficial for individuals dealing with a variety of serious illnesses such as heart failure, Parkinson's disease, dementia, and many others.