Virucidal, Bactericidal, and Sporicidal Multilevel Antimicrobial HEPA-ClO2 Filter for Air Disinfection in a Palliative Care Facility

2021 ◽  
pp. 134115
Author(s):  
Chin Yan Suen ◽  
Yue Tak Lai ◽  
Ka Hei Lui ◽  
Yan Li ◽  
Helen Hoi Ling Kwok ◽  
...  
Keyword(s):  
Palliative Care ◽  
Care Facility ◽  
Air Disinfection

Evaluating a Palliative Care Program: Methodology and limitations

1996 ◽  
Vol 12 (2) ◽  
pp. 23-33 ◽  
Author(s):  
Hilary Jarvis ◽  
Frederick I. Burge ◽  
Chris A. Scott
Keyword(s):  
Palliative Care ◽  
Symptom Relief ◽  
Tertiary Care ◽  
Palliative Care Service ◽  
Care Facility ◽  
Maslach Burnout Inventory ◽  
Symptom Distress ◽  
Community Resources ◽  
Tertiary Care Facility ◽  
Distress Scale

The article describes an evaluation of a palliative care service in a regional and tertiary care facility. The service components are described. The four outcomes chosen for evaluation were: (a) symptom relief; (b) satisfaction with care for patients/families; (c) utilization of community resources; (d) good nursing morale and low staff stress. Quality of life was measured using a symptom distress scale; satisfaction using an adapted Kristjanson FAMCARE scale; community resources with opinion and satisfaction surveys; and staff morale and stress with the Maslach Burnout Inventory and Latack's Coping Questionnaire. Results showed that overall symptom distress was reduced. Patients/families were generally satisfied, with some areas needing attention. Physicians were generally satisfied and believed patients/families benefited from the psychosocial support, respite, and education/information. Nurses felt they had the time, energy, resources and support to give quality care.

scholarly journals Uncharted Waters: Influencing Practice Through a Life Course Approach: How Caregivers' Life Experience Can Influence the Care They Give to the Elderly at the End of Life

2021 ◽  
Author(s):  
◽  
Katherine Anne Gellatly
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Life Experience ◽  
Life Story ◽  
Care Pathway ◽  
Care Facility ◽  
The Elderly ◽  
Aged Care ◽  
Nurse Specialist ◽  
Insight Into

<p>This project originates from my experience as a Palliative Care Nurse Specialist Educator working from a hospice environment. Observations and collaborative partnerships with staff in Aged Care Facilities provided insight into the palliative care needs of the residents at the end-of-life. Care Assistants (caregivers) provide the majority of direct care and spend most time with residents, with little training for providing that care, to residents with increasingly complex needs. A two phase exploratory descriptive project was designed using the life course research paradigm and life story narrative research to consider what life experience caregivers brought to their caregiving role in an Aged Care Facility in New Zealand and what influence education had on their work life. In the first phase a focus group, following education and the implementation of the Liverpool Care Pathway, was conducted and themes identified from an interdisciplinary staff team discussion. In phase two of the project four of the caregivers participated in a life story interview. The thematic analysis of these transcripts provided insight into the four caregivers' life experience. A novel method termed poetic condensation was used in the study to identify the essence of each person's life story. The researcher then reflected on each of the four life stories and identified the turning point in the person's life and a caring moment from the transcript. The discussion in the thesis reveals the impact of the education sessions and implementation of the Liverpool Care Pathway on the caregivers' practice and how this became a turning point in the delivery of care for the elderly residents particularly those who were dying in the Aged Care Facility. The researcher concludes the thesis by recognizing that her role as a palliative care clinical nurse specialist and educator is necessary to transfer specialist end-of-life knowledge and mentor staff as they shape best end-of-life practice.</p>

scholarly journals Uncharted Waters: Influencing Practice Through a Life Course Approach: How Caregivers' Life Experience Can Influence the Care They Give to the Elderly at the End of Life

2021 ◽  
Author(s):  
◽  
Katherine Anne Gellatly
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Life Experience ◽  
Life Story ◽  
Care Pathway ◽  
Care Facility ◽  
The Elderly ◽  
Aged Care ◽  
Nurse Specialist ◽  
Insight Into

<p>This project originates from my experience as a Palliative Care Nurse Specialist Educator working from a hospice environment. Observations and collaborative partnerships with staff in Aged Care Facilities provided insight into the palliative care needs of the residents at the end-of-life. Care Assistants (caregivers) provide the majority of direct care and spend most time with residents, with little training for providing that care, to residents with increasingly complex needs. A two phase exploratory descriptive project was designed using the life course research paradigm and life story narrative research to consider what life experience caregivers brought to their caregiving role in an Aged Care Facility in New Zealand and what influence education had on their work life. In the first phase a focus group, following education and the implementation of the Liverpool Care Pathway, was conducted and themes identified from an interdisciplinary staff team discussion. In phase two of the project four of the caregivers participated in a life story interview. The thematic analysis of these transcripts provided insight into the four caregivers' life experience. A novel method termed poetic condensation was used in the study to identify the essence of each person's life story. The researcher then reflected on each of the four life stories and identified the turning point in the person's life and a caring moment from the transcript. The discussion in the thesis reveals the impact of the education sessions and implementation of the Liverpool Care Pathway on the caregivers' practice and how this became a turning point in the delivery of care for the elderly residents particularly those who were dying in the Aged Care Facility. The researcher concludes the thesis by recognizing that her role as a palliative care clinical nurse specialist and educator is necessary to transfer specialist end-of-life knowledge and mentor staff as they shape best end-of-life practice.</p>

A Survey of Knowledge and Attitudes of Nurses About Pain Management in End-Stage Liver Disease in a Geriatric Palliative Care Unit

2016 ◽  
Vol 35 (1) ◽  
pp. 92-99 ◽  
Author(s):  
Giulia-Anna Perri ◽  
Herman Yeung ◽  
Yoel Green ◽  
Abby Bezant ◽  
Carman Lee ◽  
...  
Keyword(s):  
Palliative Care ◽  
Liver Disease ◽  
Pain Management ◽  
Care Facility ◽  
Palliative Care Unit ◽  
Or Education ◽  
Cross Sectional ◽  
End Stage Liver Disease ◽  
Knowledge And Attitudes ◽  
End Stage

Background: Palliative care is often initiated late for patients with end stage liver disease (ESLD) with pain being a common morbidity that is under-treated throughout the disease trajectory. When admitted to a palliative care unit (PCU), nurses play a pivotal role and must be highly informed to ensure effective pain management. The aim of this study is to determine the baseline level of knowledge and attitudes of PCU nurses regarding pain management in patients with ESLD. Methods: A descriptive, cross-sectional self-administered survey design was used for this study. The sample comprised 35 PCU nurses working at a continuing chronic care facility in Toronto, Ontario, Canada. Data on the knowledge and attitudes of the nurses regarding pain management in patients with ESLD, was obtained using a modified version of the “Nurses Knowledge and Attitudes Survey Regarding Pain” (NKASRP) tool. Results: Thirty-one PCU nurses were included for the analysis, giving a response rate of 89%. The mean total percentage score for the nurses on the modified version of the NKASRP was 72%. Only 26% of the nurse participants obtained a passing score of 80% or greater. There were no significant differences in mean total scores by age, gender, years of nursing experience or education level. Conclusions: The findings of this study provide important information about the inadequate knowledge and attitude in nurses regarding pain management for patients with ESLD. It is suggested that targeted educational programs and quality improvement initiatives in pain management for patients with ESLD could improve knowledge and attitudes for PCU nurses.

Experience of internationally qualified nurses providing palliative care in a New Zealand aged residential care facility

2021 ◽  
Vol 27 (10) ◽  
pp. 515-523
Author(s):  
Elizabeth Angus ◽  
Kate Reid ◽  
Sigred Yamit ◽  
Gill Coe ◽  
Bridget Ryan ◽  
...  
Keyword(s):  
Palliative Care ◽  
New Zealand ◽  
Residential Care ◽  
Care Facility ◽  
Residential Care Facility ◽  
Care Experience ◽  
Role Modelling ◽  
Group Interviews ◽  
Education Support ◽  
Training And Support

Background: New Zealand is reliant upon internationally qualified nurses (IQNs) working within aged residential care (ARC), despite the fact that many of these nurses have limited or no ARC or palliative care experience before arriving in the country. Aims: To understand the issues faced by IQNs providing palliative care to people in ARC. To understand how the palliative aged residential care (PARC) specialist nurse team can best support IQNs. Methods: A thematic analysis was undertaken from five focus group interviews with IQNs (n=24) from ARC facilities in the Christchurch and Canterbury regions. Findings: Unfamiliarity with New Zealand 's palliative care and ARC systems, cultural differences and communication barriers caused internal struggles. Transitioning to a New Zealand approach to palliative care highlighted participants' adaptability and resilience. Consistent approaches to training and support by the PARC team and additional cultural training within New Zealand Competence Assessment Programmes (CAP) are required. Conclusion: Ongoing education, support and role modelling to develop confidence and reduce internal struggles are required for IQNs providing palliative care in ARC.

N028 Cardiac Nurses' Knowledge of Palliative Care at a Tertiary Care Facility

2012 ◽  
Vol 28 (5) ◽  
pp. S428-S429
Author(s):  
K. Schnell-Hoehn ◽  
E. Estrella-Holder ◽  
L. Avery
Keyword(s):  
Palliative Care ◽  
Tertiary Care ◽  
Care Facility ◽  
Tertiary Care Facility ◽  
Nurses Knowledge

Preferred Place of Death—A Study of 2 Specialist Community Palliative Care Services in Australia

2021 ◽  
pp. 082585972110180
Author(s):  
Emily Saurman ◽  
Sam Allingham ◽  
Kylie Draper ◽  
Julie Edwards ◽  
Jeanette Moody ◽  
...  
Keyword(s):  
Palliative Care ◽  
Care Facility ◽  
Aged Care ◽  
Cross Sectional Study ◽  
Place Of Death ◽  
Residential Aged Care ◽  
Cross Sectional ◽  
Care Services ◽  
Palliative Care Services ◽  
Individual Variables

Choice and preference are fundamental to person-centered care and supporting personal choice at the end of life should be a priority. This study analyzed the relationship between a person’s preferred place of death and other individual variables that might influence their actual place of death by examining the activity of 2 specialist community palliative care services in Australia. This was a cross-sectional study of 2353 people who died between 01 August 2016-31 August 2018; 81% died in their preferred place. Sex, type of life-limiting illness, and length of time in care were the only variables significantly related to dying in one’s preferred place. Women were more likely to die in their preferred place than men (84% v 78%) and people with a non-cancer diagnosis were 7% more likely to die in their preferred place than those with cancer, particularly when that place was their private residence (74% v 60%) or Residential Aged Care Facility (98% v 89%). Someone in care for 0-7 days had 4.2 times greater odds of dying in their preferred place (OR = 4.18, 2.20-7.94), and after 21 days in care, people had 4.6 greater odds of having a preference to die in a hospital (OR = 4.63, 3.58-5.99). Both community palliative care services have capacity and a model of care that is responsive to choice. These findings align with known referral patterns and disease trajectories and demonstrate that it is possible to support the majority of people in the care of community palliative care services to die in their preferred place.

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