title: The role of specialist palliative care in managing patients with multimorbidity.
abstract: This case report describes a patient with multiple morbidity resulting from complicated type 2 diabetes, psoriatic arthritis and abdominal surgery. It highlights the importance of specialist palliative care services in meeting his complex holistic care needs. We acknowledge the growing number of patients living with multiple morbidity and the challenges this group can present. There is then a debate around when to involve specialist palliative care services in the management of multiple morbidity given that there is often an uncertain disease trajectory.
authors.affiliation: Sue Ryder Leckhampton Court Hospice, Gloucestershire, UK.
authors.forename: Molly Jane
authors.initials: MJ
authors.lastname: Calam
authors.forename: Alan
authors.initials: A
authors.lastname: Gwynn
authors.forename: Paul
authors.initials: P
authors.lastname: Perkins
mesh_terms: D000368:Aged; D015760:Alfentanil / Q000008:administration & dosage; D002908:Chronic Disease / Q000523:psychology* / Q000628:therapy*; D003131:Combined Modality Therapy; D015897:Comorbidity; D004739:England; D006301:Health Services Needs and Demand; D006694:Holistic Health; D018575:Home Care Services, Hospital-Based; D017051:Hospice Care; D006801:Humans; D008297:Male; D008511:Medicine; D010098:Oxycodone / Q000008:administration & dosage; D059408:Pain Management / Q000379:methods; D010166:Palliative Care; D026741:Physical Therapy Modalities
chemical_list: D015760:Alfentanil; D010098:Oxycodone