Palliative care delivery: descriptions of community-based services in Vellore, India, and Seattle, Washington

Int J Palliat Nurs. 2019 Jan 2;25(1):39-45. doi: 10.12968/ijpn.2019.25.1.39.

Abstract

Background:: A public health approach to palliative care supports community-dwelling adults with advanced illness. A better understanding of successful community-based palliative care programmes and partnerships is needed to expand community-based services for ageing populations.

Aims:: This study describes two organisations in two different countries that provide health and social services to community-dwelling adults with advanced illness.

Methods:: Unstructured key-informant interviews and observational data were collected at the Christian Medical College's College of Nursing Community Health Programme (Vellore, India) and at Phinney Neighborhood Association Village (Seattle, Washington, USA).

Findings:: College of Nursing Community Health Programme nurses work with volunteer community health workers to identify and provide client-focused support to ensure quality-of-life. The Phinney Neighborhood Association Village is a volunteer-led organisation that provides social support. Both serve community-dwelling adults with advanced illness.

Conclusion:: Partnerships between healthcare organisations and community volunteers support a public health approach to community-based palliative care.

Keywords: Case study; Community; India; Palliative care; US; Volunteers.

MeSH terms

  • Aged
  • Community Health Nursing*
  • Female
  • Hospice and Palliative Care Nursing*
  • Humans
  • India
  • Interviews as Topic
  • Male
  • Palliative Care / organization & administration*
  • Volunteers*
  • Washington