Next-Gen

Palliative Care

In Glogpedia

by erf101
Last updated 1 year ago

Discipline:
Science
Subject:
Life Science
Grade:
5

Test Glog

3.Is there disagreement or confusion among patient, staff and/or family surrounding any of the following: major treatment decisions, resuscitation preferences or illness understanding? Yes or No Scoring yes= 1 point, no = 0 points

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REFERENCESAslakson, R. A., Curtis, J. R., & Nelson, J. E. (2014). The changing role of palliative care in theICU. Critical Care Medicine, 42(11), 2418-2428. Aslakson, R., Cheng, J., Vollenweider, D., Galusca, D., Smith, T. J., & Pronovost, P. J. (2014).Evidence-based palliative care in the intensive care unit: A systematic review of interventions. Journal of Palliative Medicine, 17(2), 219-235.Gascoigne, A. D., & Bourke, S. J. (2013). Palliative care in the intensive care unit. In Integrated Palliative Care of Respiratory Disease (pp. 195-205). Springer London.Restau, J., & Green, P. (2014). Palliative care in the intensive care unit. Critical care nursing clinics of North America, 26(4), 551-558.Truog, R. D., Campbell, M. L., Curtis, J. R., Haas, C. E., Luce, J. M., Rubenfeld, G. D., ... & Kaufman, D. C. (2008). Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College of Critical Care Medicine. Critical care medicine, 36(3), 953-963.

4. Is the medical team considering use of any of the following: permanent feeding tube, tracheostomy, initiation of CCRT, ethics consult, LVAD placement, ECMO, Long-Term Care/LTAC placement? Yes or No Scoring yes= 1 point, no = 0 points

5. Would you be surprised if the patient lived for >12 months from today? Yes or NoScoring yes= 1 point, no = 0 points

Clinical Decision Support System: Determining the Need for Palliative Care Consults in the ICU

2. Does the patient have uncontrolled pain, nausea, vomiting, SOB, anxiety or distress >24 hours after admission? Yes or NoScoring yes= 1 point, no = 0 points

USE OF THE DECISION SUPPORT TOOLAnswer the following 5 questions and tally the results:1. Has this patient been admitted 1 or more times in the past 3 months? Yes or NoScoring yes= 1 point, no = 0 points

BACKGROUNDThe World Health Association definition of palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. (World Health Organization, 2014). Often in the critical care unit, palliative care consults, though appropriate for some patients, are not ordered by primary teams in the fast-paced environment geared toward aggressive treatments. Nurses can be instrumental in facilitating palliative care consults by a Clinical Decision Support System with a nurse-driven protocol which incorporates patient assessment findings into a tool determining appropriateness of palliative care in critically ill patients. As nurses we can gently help patients reach conclusions that are in line with their goals, then do our best to help them achieve those goals.

Total Points: If 1 -3 points,facilitate a Primary Team Intervention: Have code status discussion and determine & document the patient’s chosen health care decision maker


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