What we Know
Not all people at end-of-life will need specialist palliative care but a palliative approach or palliative care should be available when and where it is required. Various models for palliative care delivery and their components exist without a univocally-accepted model. However, models of palliative care appear to show benefits for patients and their carers, with no evidence of negative effects, irrespective of setting or patient characteristics.
For older people, community palliative care and palliative care in residential aged care facilities (RACF) have shown to be beneficial but more high-quality research is needed for the benefits and cost-effectiveness to be well understood.
It is difficult to detail specific practice points in relation to this topic as the success of any model of care will depend on the profile/needs of clients or residents, the available services and resources, and the health system structure and the policy, sociocultural and economic context.