Version 2 2024-06-13, 11:19Version 2 2024-06-13, 11:19
Version 1 2018-01-12, 10:22Version 1 2018-01-12, 10:22
chapter
posted on 2024-06-13, 11:19authored byPL Dunning
This chapter provides a brief overview of diabetes prevalence, the associated complications,
diabetes-related mortality and management strategies to set the context for discussing
palliative and end-of-life care. This chapter highlights: (1) The increasing global
focus on palliative and end-of life-care; (2) The relationship among health trajectories,
function and palliative and end-of-life care; (3) The imperative to plan care with the individual
to achieve personalised care that meets the individual’s goals, preferences, values
and spiritual needs across the various health trajectories; (4) The need to proactively
plan for the transition to palliative and end-of-life care when appropriate and while the
individual can make informed decisions. Proactively planning for changing care needs
is more likely to achieve care consistent with the individual’s goals, values and preferences;
(5) The key role of family carers and the effect of caring on carers’ health; (6) The
importance of having timely, meaningful conversations about palliative and end-of-life
care with people with diabetes and their families; and (7) The imperative to ameliorate
suffering, optimise quality of life and personalising care.