scholarly journals Common care practices among effective community-based specialist palliative care teams: a qualitative study

2017 ◽  
Vol 10 (1) ◽  
pp. e3-e3 ◽  
Author(s):  
Hsien Seow ◽  
Daryl Bainbridge ◽  
Melissa Brouwers ◽  
Deanna Bryant ◽  
Sue Tan Toyofuku ◽  
...  
Keyword(s):  
Palliative Care ◽  
Qualitative Study ◽  
Team Building ◽  
Physical Symptom ◽  
Models Of Care ◽  
Specialist Palliative Care ◽  
Community Based ◽  
Care Community ◽  
Palliative Care Teams ◽  
Care Practices

ObjectiveEvidence has shown that, despite wide variation in models of care, community-based specialist palliative care teams can improve outcomes and reduce acute care use at end of life. The goal of this study was to explore similarities in care practices among effective and diverse specialist teams to inform the development of other community-based teams.MethodsInterviews with 78 providers and administrators from 11 distinct community-based specialist palliative care teams from Ontario, Canada were conducted. Interviews were audio-recorded, transcribed and analysed using an inductive approach to identify common themes.Results3 key themes across all teams emerged. First, the distinct models of care were generally summarised into 3 models: primary care and specialist providers either collaborated by transferring, sharing or consulting in care. Second, teams explicitly or implicitly followed 7 common care practices related to: specialised expertise 24/7; intrateam communication; timeliness; physical symptom and psychosocial–spiritual management; education; peace and fulfilment; and advocacy for patient preferences. Third, all teams emphasised the importance of team building, even more than using clinical tools and processes.ConclusionsDespite wide variation in models of care among community-based specialist palliative care teams, this large qualitative study identified several common themes in care practices that can guide the development of other teams.

scholarly journals Shared electronic care coordination systems following referral to hospice

2021 ◽  
Vol 26 (2) ◽  
pp. 58-62
Author(s):  
Libby Sampey ◽  
Anne M Finucane ◽  
Juliet Spiller
Keyword(s):  
Palliative Care ◽  
Service Evaluation ◽  
Health Providers ◽  
Specialist Palliative Care ◽  
Community Nurse ◽  
Structured Interviews ◽  
Out Of Hours ◽  
Care Community ◽  
Palliative Care Teams ◽  
Coordination Systems

In Scotland, the Key Information Summary (KIS) enables health providers to access key patient information to guide decision-making out-of-hours. KISs are generated in primary care and rely on information from other teams, such as community specialist palliative care teams (CSPCTs), to keep them up-to-date. This study involved a service evaluation consisting of case note reviews of new referrals to a CSPCT and semi-structured interviews with palliative care community nurse specialists (CNSs) regarding their perspectives on KISs. Some 44 case notes were examined, and 77% of patients had a KIS on CSPCT referral. One-month post-referral, all those re-examined (n=17) had a KIS, and 59% KISs had been updated following CNS assessments. CNSs cited anticipatory care planning (ACP) as the most useful aspect of KIS, and the majority of CNSs said they would appreciate KIS editing access. A system allowing CNSs to update KISs would be acceptable to CNSs, as it could facilitate care co-ordination and potentially improve comprehensiveness of ACP information held in KISs.

The Effect of Community-Based Specialist Palliative Care Teams on Place of Care

2016 ◽  
Vol 19 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Hsien Seow ◽  
Gagan Dhaliwal ◽  
Konrad Fassbender ◽  
Jagadish Rangrej ◽  
Kevin Brazil ◽  
...  
Keyword(s):  
Palliative Care ◽  
Specialist Palliative Care ◽  
Community Based ◽  
Palliative Care Teams

scholarly journals Building a telepalliative care strategy in nursing homes: a qualitative study with mobile palliative care teams

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Clément Cormi ◽  
Marie Petit ◽  
Juline Auclair ◽  
Emmanuel Bagaragaza ◽  
Isabelle Colombet ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Qualitative Study ◽  
Influencing Factors ◽  
Real Life ◽  
Routine Practice ◽  
Face To Face ◽  
Palliative Care Teams ◽  
Care Practices ◽  
The Impact

Abstract Background Despite increasing use of telemedicine in the field of palliative care, studies about the best circumstances and processes where it could replace face-to-face interaction are lacking. This study aimed to: (1) identify situations that are most amenable to the use of telemedicine for the provision of palliative care to patients in nursing homes; and (2) understand how telemedicine could best be integrated into the routine practice of mobile palliative care teams. Methods A qualitative study based on semi-structured focus groups (n = 7) with professionals (n = 33) working in mobile palliative care teams in France. Results Between June and July 2019, 7 mobile palliative care teams participated in one focus group each. Using thematic analysis, we found that telemedicine use in palliative care is about navigating between usual and new practices. Several influencing factors also emerged, which influence the use of telemedicine for palliative care, depending on the situation. Finally, we built a use-case model of palliative care to help mobile palliative care teams identify circumstances where telemedicine could be useful, or not. Conclusions The potential utility of telemedicine for delivering palliative care in nursing homes largely depends on the motive for calling on the mobile palliative care team. Requests regarding symptoms may be particularly amenable to telemedicine, whereas psycho-social distress may not. Further studies are warranted to assess the impact of influencing factors on real-life palliative care practices. Telemedicine could nonetheless be a useful addition to the mobile palliative care teams’ armamentarium.

Mortality among referrals to a community-based intermediate care team

2017 ◽  
Vol 9 (3) ◽  
pp. 263-266
Author(s):  
Bharath Lakkappa ◽  
Sanjay Shah ◽  
Stephen Rogers ◽  
Leanne Helen Holman
Keyword(s):  
Palliative Care ◽  
Care Team ◽  
Intermediate Care ◽  
Care Needs ◽  
Community Based ◽  
Care Services ◽  
Palliative Care Teams ◽  
Care Models ◽  
End Stage ◽  
Palliative Care Needs

ObjectivesIntermediate care services have been introduced to help mitigate unnecessary hospital demand and premature placement in long-term residential care. Many patients are elderly and/or with complex comorbidities, but little consideration has been given to the palliative care needs of patients referred to intermediate care services. The objective of this study is to determine the proportion of patients referred to a community-based intermediate care team who died during care and up to 24 months after discharge and so to help inform the development of supportive and palliative care in this setting.MethodsA retrospective cohort study of all 4770 adult patients referred to Northamptonshire Intermediate Care Team (ICT) between 11 April 2010 and 10 April 2011.ResultsOf 4770 patients referred, 60% were 75 years or older and 32% were 85 years of age or older. 4.0% of patients died during their ICT stay and 11% within 30 days of discharge. At the end of 12 months, 25% of the patients had died, increasing to 32% before the end of the second year. About 34% of all deaths occurred during the ICT stay or within 30 days of discharge, and a further 46% by the end of the first year. Male gender and higher age were associated with greater likelihood of death.ConclusionsIt is important for ICT clinicians to consider immediate and longer-term palliative care needs among patients referred to ICTs. Care models involving ICTs and palliative care teams working together could enable more people with end-stage non-cancer illnesses to die at home.

Acute palliative intervention: critical care outreach and hospital specialist palliative care teams collaboration

2020 ◽  
pp. bmjspcare-2019-002065
Author(s):  
Felicity Dewhurst ◽  
Alex Nicholson ◽  
Lindsay Garcia ◽  
Isabel Gonzalez ◽  
Martin Johnson ◽  
...  
Keyword(s):  
Palliative Care ◽  
Critical Care ◽  
Specialist Palliative Care ◽  
Hospital Specialist ◽  
Palliative Care Teams ◽  
Critical Care Outreach
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