Reasons Hospice Patients Access Emergency Departments for Symptom Management

2.50
Hdl Handle:
http://hdl.handle.net/10755/308044
Category:
Abstract
Type:
Presentation
Title:
Reasons Hospice Patients Access Emergency Departments for Symptom Management
Author(s):
Batchelor, Nancy Henne; Quinlin, Linda M.
Lead Author STTI Affiliation:
Beta Iota
Author Details:
Nancy Henne Batchelor, MSN, RN-BC, CNS, nancy.batchelor@uc.edu; Linda M. Quinlin, RN, MS, ACNS-BC, NP-C, ACHPN
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Many hospice patients access the emergency department (ED) for symptom management during the last six months of life even though the more effective approach is to have symptoms managed by hospice providers.  Symptom management is a process of care affecting the end of life journey for many hospice patients.  Symptom management involves and impacts patients, families, caregivers and nursing staff.  When symptoms are not effectively managed, hospice patients often access the ED.  Visits to the ED are costly, disrupt continuity of care, may result in unwanted medical treatment, and may negatively affect the patient’s goals of care.  To prevent ED visits the hospice program must effectively manage symptoms at home with ongoing surveillance and responsiveness.  Families and caregivers play important roles in managing symptoms and emotional aspects of patient care, as well as in decision making at the end of life.  Evidence based solutions which address hospice patients accessing the ED rest on five basic principles of care:  respecting the choices of terminally ill persons; supporting their medical, emotional, and spiritual needs; supporting the needs of their family; helping them access health care resources; and building programs to provide them with the best end-of-life care.  This poster presentation will identify reasons hospice patients access the ED, with a focus on two hospice organizations (Hospice of Dayton and Hospice of Cincinnati) nursing staffs' perceptions of the symptom management needs of the hospice patient, caregiver, home care nurse, and organization.
Keywords:
emergency department; symptom management; end-of-life
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.titleReasons Hospice Patients Access Emergency Departments for Symptom Managementen_GB
dc.contributor.authorBatchelor, Nancy Henneen_GB
dc.contributor.authorQuinlin, Linda M.en_GB
dc.contributor.departmentBeta Iotaen_GB
dc.author.detailsNancy Henne Batchelor, MSN, RN-BC, CNS, nancy.batchelor@uc.edu; Linda M. Quinlin, RN, MS, ACNS-BC, NP-C, ACHPNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308044-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p>Many hospice patients access the emergency department (ED) for symptom management during the last six months of life even though the more effective approach is to have symptoms managed by hospice providers.  Symptom management is a process of care affecting the end of life journey for many hospice patients.  Symptom management involves and impacts patients, families, caregivers and nursing staff.  When symptoms are not effectively managed, hospice patients often access the ED.  Visits to the ED are costly, disrupt continuity of care, may result in unwanted medical treatment, and may negatively affect the patient’s goals of care.  To prevent ED visits the hospice program must effectively manage symptoms at home with ongoing surveillance and responsiveness.  Families and caregivers play important roles in managing symptoms and emotional aspects of patient care, as well as in decision making at the end of life.  Evidence based solutions which address hospice patients accessing the ED rest on five basic principles of care:  respecting the choices of terminally ill persons; supporting their medical, emotional, and spiritual needs; supporting the needs of their family; helping them access health care resources; and building programs to provide them with the best end-of-life care.  This poster presentation will identify reasons hospice patients access the ED, with a focus on two hospice organizations (Hospice of Dayton and Hospice of Cincinnati) nursing staffs' perceptions of the symptom management needs of the hospice patient, caregiver, home care nurse, and organization.en_GB
dc.subjectemergency departmenten_GB
dc.subjectsymptom managementen_GB
dc.subjectend-of-lifeen_GB
dc.date.available2013-12-19T17:26:08Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:08Z-
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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