Palliative Care for All: Integrating Palliative Care into Disease Management Frameworks, key messages
Bibliographic record
Abstract
Introduction and context What is palliative care?Why palliative care is appropriate for people with non-malignant, life-limiting diseases Introducing palliative care Examples of service developments in Ireland Meeting palliative care needs -What can you do?Further resources and information Glossary Bibliography What is palliative care?Palliative care is described by WHO as an approach that improves the quality of life of patients and their families facing problems associated with life threatening illness through the prevention and relief of suffering.This is achieved by means of early identification, impeccable assessment and treatment of pain and other symptoms that may be physical, psychosocial and spiritual.The introduction of palliative care can be appropriate early in the course of the disease and may be applicable with other therapies that are intended to prolong life.Bereavement support is an integral part of palliative care.It can start with anticipatory support in preparing the family for the loss of their loved one and continue through response to grief reactions.Many primary and community care professionals remain involved with the family throughout the bereavement process. STRUCTURE OF PALLIATIVE CAREIn Ireland, palliative care services are structured in three ascending levels of specialisation as follows:Level 1 -Palliative Care Approach.Informed by the principles of palliative care (above), the palliative care approach aims to promote both physical and psychosocial well-being.The palliative care approach is a vital and integral part of all clinical practice, in hospitals or the community, whatever the illness or its stage.Level 2 -General Palliative Care.This intermediate level of palliative care is practised by health care professionals who have had some additional training and experience in palliative care.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.008 | 0.026 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.005 | 0.005 |
| Open science | 0.002 | 0.006 |
| Research integrity | 0.007 | 0.010 |
| Insufficient payload (model declined to judge) | 0.030 | 0.004 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".