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Models of palliative care adopted in the acute care sector largely consist of specialist consultative services, in-patient palliative units/beds or nurse practitioner models [ 82, 83].
In Serbia this is also a complex issue since publicly employed health workers are allowed to provide specialist, consultative and/or training services in the private sector and to act as volunteers outside the public healthcare sector.
Specialist consultative service models have tended to focus on: 1) discussions about prognosis and goals of care; 2) pursuing documentation of advance directives; 3) discussion about foregoing specific treatments and/or diagnostic interventions; 4) family and patient support; 5) discharge planning; and 6) symptom management [ 84].
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The participation of medical specialists in consultative and educational roles outside conventional referrals is an essential element contributing to better outcomes.
Specialized palliative care services funded by the state government provide consultative specialist medical and nursing support for GPs and community nurses.
The hospital palliative care service provides consultative patient-focused specialist palliative care, in conjunction with the primary multi-disciplinary team on the ward.
This sort of ultra-specialist knowledge has led to consultative innovations with some of the world's top chefs.
Consult a specialist.
Hence, patients with minimal needs can continue to be cared for by their primary care team; while those with intermediate or complex needs may require the consultative or continued involvement of specialist providers [ 1].
Consult an ENT specialist.
Some ICUs have adopted a "consultative model," giving palliative care specialists a major role, particularly in the care of patients at highest risk for poor outcomes [114].
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