2.50
Hdl Handle:
http://hdl.handle.net/10755/164365
Category:
Abstract
Type:
Presentation
Title:
Improving End of Life Care: A CNS/Pharmacist Challenge
Author(s):
Castelli, Catherine; Obwerg, Mary; Mabry, Rob; Henchley, Jeff; Poell, Lorraine
Author Details:
Catherine Castelli, MN, ARNP, AOCN, Oncology CNS, Shawnee Mission Medical Center, Shawnee Mission, Kansas, USA, email: nacnsorg@nacns.org; Mary Obwerg, MN, ARNP, BC, CHTP Medical-Surgical CNS; Rob Mabry, PharmD; Jeff Henchley PharmD; Lorraine Poell, Pharm D
Abstract:
Problem/Significance: An assessment demonstrated that non-oncology healthcare providers at this 386-bed hospital had limited knowledge of palliative care resulting in inconsistent care practices. Fiscally unable to develop a full-time Palliative Care Team, CNSs, Pharmacists and a Nurse Manager at this hospital decided to create a comprehensive consultative model. Purpose: To increase the effectiveness of end of life care by creating a budget neutral strategy to meet palliative care needs. Description: The CNS/Pharmacist led team includes the oncology nurse manager and CNS, Pharmacists, medical-surgical CNS, chaplains, and social workers. Each member's role includes palliative care responsibilities. An EPEC trained hospitalist group provides medical consultation. Methods: Initially, national and local palliative care experts provided consultation and education for health care providers. Team meetings were held regularly to design the service mission, goals, referral processes, physician order set, nursing care protocol, data management system, evaluation plan, educational brochures, and other tools. Team meetings are held weekly for collaboration about patients and to refine the services. Team members are available for consults during weekday business hours with limited weekend coverage. Outcomes/Evaluation: Since 2001, the team consults have increased from 54 to 132 per year with no new FTEs. Data demonstrates more consistent assessment and management of symptoms and cost reduction. Satisfaction with services is high among the nursing staff. Bereavement services are being enhanced. Conclusions/Implications for Nursing: CNS/Pharmacist led interdisciplinary palliative care services are a viable, cost effective option when a dedicated team is not possible.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
CNS Leadership: Navigating the Healthcare Environment Toward Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Orlando, Florida, USA
Description:
Conference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, 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.titleImproving End of Life Care: A CNS/Pharmacist Challengeen_GB
dc.contributor.authorCastelli, Catherineen_US
dc.contributor.authorObwerg, Maryen_US
dc.contributor.authorMabry, Roben_US
dc.contributor.authorHenchley, Jeffen_US
dc.contributor.authorPoell, Lorraineen_US
dc.author.detailsCatherine Castelli, MN, ARNP, AOCN, Oncology CNS, Shawnee Mission Medical Center, Shawnee Mission, Kansas, USA, email: nacnsorg@nacns.org; Mary Obwerg, MN, ARNP, BC, CHTP Medical-Surgical CNS; Rob Mabry, PharmD; Jeff Henchley PharmD; Lorraine Poell, Pharm Den_US
dc.identifier.urihttp://hdl.handle.net/10755/164365-
dc.description.abstractProblem/Significance: An assessment demonstrated that non-oncology healthcare providers at this 386-bed hospital had limited knowledge of palliative care resulting in inconsistent care practices. Fiscally unable to develop a full-time Palliative Care Team, CNSs, Pharmacists and a Nurse Manager at this hospital decided to create a comprehensive consultative model. Purpose: To increase the effectiveness of end of life care by creating a budget neutral strategy to meet palliative care needs. Description: The CNS/Pharmacist led team includes the oncology nurse manager and CNS, Pharmacists, medical-surgical CNS, chaplains, and social workers. Each member's role includes palliative care responsibilities. An EPEC trained hospitalist group provides medical consultation. Methods: Initially, national and local palliative care experts provided consultation and education for health care providers. Team meetings were held regularly to design the service mission, goals, referral processes, physician order set, nursing care protocol, data management system, evaluation plan, educational brochures, and other tools. Team meetings are held weekly for collaboration about patients and to refine the services. Team members are available for consults during weekday business hours with limited weekend coverage. Outcomes/Evaluation: Since 2001, the team consults have increased from 54 to 132 per year with no new FTEs. Data demonstrates more consistent assessment and management of symptoms and cost reduction. Satisfaction with services is high among the nursing staff. Bereavement services are being enhanced. Conclusions/Implications for Nursing: CNS/Pharmacist led interdisciplinary palliative care services are a viable, cost effective option when a dedicated team is not possible.en_GB
dc.date.available2011-10-27T11:47:03Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:47:03Z-
dc.conference.date2005en_US
dc.conference.nameCNS Leadership: Navigating the Healthcare Environment Toward Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.descriptionConference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, 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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