Integrated care pathways (ICPs) first appeared in the United States in the 1970s, and since then their usage has become widespread internationally. Definitions of what constitutes a care pathway can be confusing. The European Pathway Association (EPA) has provided a helpful definition of care pathways as: ‘multi-component interventions intended to facilitate decision-making and organisation of care for a well-defined group of patients over a well-defined period’ (European Pathway Association, 2007).
Important features of ICPs in palliative care are as follows:
Assessment: All care pathways include a significant emphasis upon initial and ongoing assessment. Initial assessment includes methods to indicate prognosis or palliative care need. Ongoing assessment focuses on physical, psychological and spiritual needs.
Advance care planning: This may include the preparation and completion of preferences but also the facilitation of advance care planning processes (Chapter 4). In some care pathways, this specifically includes guidance on the convening of meetings with patients and carers and the skilful elicitation of preferences.
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