2.50
Hdl Handle:
http://hdl.handle.net/10755/164051
Category:
Abstract
Type:
Presentation
Title:
Palliative Care Clinical Nurse Specialist Establishing A Hospital Practice
Author(s):
Snittjer, Margaret
Author Details:
Margaret Snittjer, CNS, AOCN, Midwestern Regional Medical Center, Zion, Illinois, USA, email: nacnsorg@nacns.org
Abstract:
Purpose/Objective: To provide pain management assessment and intervention that is effective and easily accessible to patients. Significance/Background/Rationale: Pain is the number one reason patients present to a health care provider. Each year 25 million people experience acute pain as a result of injury or surgery and more than 50 million Americans suffer from chronic pain caused by various diseases and disorders (American Pain Foundation). Surveys indicate that pain is experienced by 30-60% of cancer patients during active therapy, 28% with a new diagnosis of cancer and 64-80% of those with advanced disease. Postoperative pain contributes to patient discomfort, longer recovery periods, and greater use of scarce health care resources and may compromise patient outcomes. An aggressive approach to pain assessment and management can reduce such pain and increase patient comfort and satisfaction, and in some cases, contribute to improved patient outcomes and shorter hospital stays. Practice Innovation: Department of Pain Management designated as a separate cost center with Clinical Nurse Specialist as Department Head and coordinator for multidisciplinary committees. An interdisciplinary pain management pathway and standing orders established. Performance Improvement in documenting response times initiated. Incorporation of standards of practice initiated such as National Comprehensive Cancer Network (NCCN) Pain Management Guidelines and Oncology Nursing Society symptom management guidelines. Evaluation of patient outcomes is in development. Evaluation: Patient, family and staff comments of appreciation are noted daily regarding the accessibility to pain management staff, education and interventions. Patient satisfaction higher than nationally compared peer institutions. Hospital revenue in Pain Management department increased by more than 100% in one year by adding 1.0 FTE - RN and .30 FTE clerical support. Implications for Practice: In July of 2001 the state of Illinois began to license Advanced Practice Nurses in collaborative practice with physicians. The Illinois Society of Advanced Practice Nurses has been instrumental in providing information to advanced practice nurses, payers and legislators in the foundation of this practice. This has allowed the Palliative Care CNS position to contribute to hospital and professional revenue, not to mention cost savings realized in effective pain management as well as patient and staff satisfaction. The Palliative Care CNS has participated in education of patients, families, staff, physicians and hospital administration. This model can be provided to hospitals as a cost effective, revenue generating, high patient and staff satisfaction program with nursing leadership. Research opportunities are abundant from quality of life to economic impacts and the development of standards of care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePalliative Care Clinical Nurse Specialist Establishing A Hospital Practiceen_GB
dc.contributor.authorSnittjer, Margareten_US
dc.author.detailsMargaret Snittjer, CNS, AOCN, Midwestern Regional Medical Center, Zion, Illinois, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164051-
dc.description.abstractPurpose/Objective: To provide pain management assessment and intervention that is effective and easily accessible to patients. Significance/Background/Rationale: Pain is the number one reason patients present to a health care provider. Each year 25 million people experience acute pain as a result of injury or surgery and more than 50 million Americans suffer from chronic pain caused by various diseases and disorders (American Pain Foundation). Surveys indicate that pain is experienced by 30-60% of cancer patients during active therapy, 28% with a new diagnosis of cancer and 64-80% of those with advanced disease. Postoperative pain contributes to patient discomfort, longer recovery periods, and greater use of scarce health care resources and may compromise patient outcomes. An aggressive approach to pain assessment and management can reduce such pain and increase patient comfort and satisfaction, and in some cases, contribute to improved patient outcomes and shorter hospital stays. Practice Innovation: Department of Pain Management designated as a separate cost center with Clinical Nurse Specialist as Department Head and coordinator for multidisciplinary committees. An interdisciplinary pain management pathway and standing orders established. Performance Improvement in documenting response times initiated. Incorporation of standards of practice initiated such as National Comprehensive Cancer Network (NCCN) Pain Management Guidelines and Oncology Nursing Society symptom management guidelines. Evaluation of patient outcomes is in development. Evaluation: Patient, family and staff comments of appreciation are noted daily regarding the accessibility to pain management staff, education and interventions. Patient satisfaction higher than nationally compared peer institutions. Hospital revenue in Pain Management department increased by more than 100% in one year by adding 1.0 FTE - RN and .30 FTE clerical support. Implications for Practice: In July of 2001 the state of Illinois began to license Advanced Practice Nurses in collaborative practice with physicians. The Illinois Society of Advanced Practice Nurses has been instrumental in providing information to advanced practice nurses, payers and legislators in the foundation of this practice. This has allowed the Palliative Care CNS position to contribute to hospital and professional revenue, not to mention cost savings realized in effective pain management as well as patient and staff satisfaction. The Palliative Care CNS has participated in education of patients, families, staff, physicians and hospital administration. This model can be provided to hospitals as a cost effective, revenue generating, high patient and staff satisfaction program with nursing leadership. Research opportunities are abundant from quality of life to economic impacts and the development of standards of care.en_GB
dc.date.available2011-10-27T11:41:05Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:05Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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