2.50
Hdl Handle:
http://hdl.handle.net/10755/307988
Category:
Abstract
Type:
Presentation
Title:
Palliative Care: The Pioneer of a Unified End
Author(s):
Hodo, Ashley
Lead Author STTI Affiliation:
Beta Alpha
Author Details:
Ashley Hodo, MSN, RN, AshleyHodo@TexasHealth.org
Abstract:

Session presented on: Saturday, November 16, 2013

As a 735 licensed-bed facility in a large metropolitan area, our institution often receives patients with a wide array of complex diseases, trauma, and medical diagnoses. This prompted the early recognition and implementation of an adult palliative care program within our facility in 2001. What started as a small consult service offered by a single Physician and two Registered Nurses has undergone a drastic metamorphosis. This has resulted in a robust program consisting of a physician group, Nurse Practitioners, a dedicated social worker, a dedicated chaplain, a 16-bed inpatient palliative care unit, a nurse manager, and a program coordinator. Our program goals are comprehensive and focus to enhance communication, provide family support and education, facilitate healthy coping, assist with ethical dilemmas, and establish realistic goals of care. Initially, our data included identifying common diagnoses of PC patients and determining the number of patients seen. However, our data is now comprehensive including examining the percentages of deaths in the adult ICUs with and without PC, determining “likelihood to recommend PC services” through a PC-specific patient satisfaction tool, and identifying if family conferences are multidisciplinary and establish a plan of care goal. PC services in the patients that die in the ICU, is the most impactful regarding judicious financial use for our healthcare system. The recent novelty of PC as a specialty has inherent obstacles, not unique to our program, and involves: differentiating PC from hospice, educating staff, and care fragmentation. Our future plans encompass examining the financial ramifications of cost-avoidance, constructing a process for automated PC involvement in patients admitted under the hypothermia protocol, and we are awaiting IRB approval for a quasi-experimental design study in the ICU.
Keywords:
Palliative Care; Adult; Implementing
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePalliative Care: The Pioneer of a Unified Enden_GB
dc.contributor.authorHodo, Ashleyen_GB
dc.contributor.departmentBeta Alphaen_GB
dc.author.detailsAshley Hodo, MSN, RN, AshleyHodo@TexasHealth.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307988-
dc.description.abstract<p>Session presented on: Saturday, November 16, 2013</p>As a 735 licensed-bed facility in a large metropolitan area, our institution often receives patients with a wide array of complex diseases, trauma, and medical diagnoses. This prompted the early recognition and implementation of an adult palliative care program within our facility in 2001. What started as a small consult service offered by a single Physician and two Registered Nurses has undergone a drastic metamorphosis. This has resulted in a robust program consisting of a physician group, Nurse Practitioners, a dedicated social worker, a dedicated chaplain, a 16-bed inpatient palliative care unit, a nurse manager, and a program coordinator. Our program goals are comprehensive and focus to enhance communication, provide family support and education, facilitate healthy coping, assist with ethical dilemmas, and establish realistic goals of care.<b> </b>Initially, our data included identifying common diagnoses of PC patients and determining the number of patients seen. However, our data is now comprehensive including examining the percentages of deaths in the adult ICUs with and without PC, determining “likelihood to recommend PC services” through a PC-specific patient satisfaction tool, and identifying if family conferences are multidisciplinary and establish a plan of care goal. PC services in the patients that die in the ICU, is the most impactful regarding judicious financial use for our healthcare system. The recent novelty of PC as a specialty has inherent obstacles, not unique to our program, and involves: differentiating PC from hospice, educating staff, and care fragmentation. Our future plans encompass examining the financial ramifications of cost-avoidance, constructing a process for automated PC involvement in patients admitted under the hypothermia protocol, and we are awaiting IRB approval for a quasi-experimental design study in the ICU.en_GB
dc.subjectPalliative Careen_GB
dc.subjectAdulten_GB
dc.subjectImplementingen_GB
dc.date.available2013-12-19T17:25:04Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:25:04Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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