Home-Based Palliative Care Models Run By Community Nurses: Impact on Patient, Caregiver, and Cost Outcomes in Contemporary Healthcare Settings

Abstract

Home-based palliative care models are increasingly recognized as an effective approach to provide holistic care to patients with life-limiting illnesses. Community nurses play a pivotal role in delivering these services, offering not only symptom management but also psychosocial support to patients and caregivers. This paper examines the various home-based palliative care models managed by community nurses, highlighting their influence on patient well-being, caregiver burden, and cost-effectiveness. While traditional hospital-based care has been the standard, the rising need for patient-centered, cost-efficient care has spurred the adoption of home-based interventions. Evidence suggests that nurse-led models significantly enhance patient satisfaction, reduce hospital admissions, and improve caregiver competence and mental health. However, challenges such as workforce limitations, training needs, and integration with primary care remain. This paper provides an in-depth exploration of these models, their outcomes, and the potential future scope of home-based palliative care in community settings.

KEYWORDS: Home-based palliative care, community nurses, patient outcomes, caregiver burden, cost-effectiveness, nurse-led models