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. Author manuscript; available in PMC: 2016 Jul 1.
Published in final edited form as: Heart Fail Clin. 2015 Jul;11(3):479–498. doi: 10.1016/j.hfc.2015.03.010

Figure 1. Evolving models of integrating curative-restorative care with palliative care.

Figure 1

A) Previously, curative-restorative care was seen as an “all or none” phenomenon, and palliative care was only initiated once curative-restorative care options were exhausted. B) Palliative care principles were incorporated concurrently with curative-restorative care models, but as less curative-restorative care options existed palliative care was intensified. C) This model accounts for the fact that care trajectories rarely change at a constant, linear slope; rather, care intensity is augmented by punctuated exacerbations of illness over time.

From Lankan PN, Terry PB, Delisser HM, et al. An official American Thoracic Society clinical policy statement: palliative care for patients with respiratory diseases and critical illnesses. Am J Respir Crit Care Med. Apr 15 2008;177(8):912–927; with permission.