scholarly journals 29 Knowledge and understanding of healthcare ethics: a survey of palliative care teams at the prince and princess of wales hospice and the queen elizabeth university hospital in glasgow

2019 ◽  
Author(s):  
Marisa Devanney ◽  
Carolyn Datta
Keyword(s):  
Palliative Care ◽  
University Hospital ◽  
Healthcare Ethics ◽  
Palliative Care Teams

scholarly journals Existential Dimension and Spiritual Assistance in the “A. Gemelli” University Hospital in Rome: A Cross-Disciplinary and Sacramental Enhanced Dynamical Approach in Palliative Care

Religions ◽  
2022 ◽  
Vol 13 (1) ◽  
pp. 53
Author(s):  
Alessandro Mantini ◽  
Maria Adelaide Ricciotti ◽  
Eleonora Meloni ◽  
Anita Maria Tummolo ◽  
Sabrina Dispenza ◽  
...  
Keyword(s):  
Palliative Care ◽  
Spiritual Care ◽  
Chronic Conditions ◽  
Health Personnel ◽  
University Hospital ◽  
Spiritual Needs ◽  
Team Members ◽  
Palliative Care Teams ◽  
Level Of Training ◽  
Existential Dimension

In the A. Gemelli university hospital in Rome, the presence of highly specialized inter-professional palliative care teams and spiritual assistants who are dedicated to their role in the service of inpatients is valuable to person-centered healthcare. Spiritual needs are commonly experienced by patients with sudden illness, chronic conditions, and life-limiting conditions, and, consequently, spiritual care is an intrinsic and essential component of palliative care. This paper focuses on the sacrament of the Anointing of the Sick to demonstrate the importance of spiritual care as an integral part of palliative care and highlights the need for all interdisciplinary team members to address spiritual issues in order to improve the holistic assistance to the patient. Over a 3-year period (October 2018–September 2021), data about the sacrament of the Anointing of the Sick administered by the hospitaller chaplaincy were collected. A total of 1541 anointings were administered, with an average of 514 anointings per year, excluding reductions related to the COVID-19 pandemic. In 98% of cases, the sacrament was requested by health personnel, and in 96% of cases, the same health personnel participated in the sacrament. These results demonstrate that, at the A. Gemelli polyclinic in Rome, the level of training that the care team has received in collaboration with the chaplains has generated a good generalized awareness of the importance of integrating the spiritual needs of patients and their families into their care, considering salvation as well as health, in a model of dynamic interprofessional integration.

Inpatient 100% mortality review at a NCI Comprehensive Cancer Center Hospital.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 88-88
Author(s):  
Angela Jain ◽  
Delinda Pendleton ◽  
Jamie Doyle ◽  
Stefan K. Barta ◽  
Mark A Hallman ◽  
...  
Keyword(s):  
Palliative Care ◽  
University Hospital ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Curative Intent ◽  
Advanced Directives ◽  
Code Status ◽  
Palliative Care Teams ◽  
Mortality Review ◽  
Level 1

88 Background: Fox Chase Cancer Center set about to identify opportunities to improve care (OIC) for cancer patients dying in the hospital. The team developed and tested a mortality review decision tree and paradigm that helped to identify OICs. Volunteer members of hospital staff representing most domains of patient care comprised the committee. Monthly meetings defined the review process, developed the form, initiated the program and refined the process as experience accumulated. Methods: Forms incorporated information from Temple University Hospital, Comprehensive Cancer Center Consortium for Quality Improvement(C4QI), and measures to be monitored by CMS. Deaths were considered “anticipated” or “unanticipated,” and with or without OIC. Issues in cases with OIC were recorded for each death. Level 1 review was completed by a research student or a member of the risk management team to organize clinical data. A level 2 review was then performed by a member of the committee and deaths were categorized. Level 3 review was undertaken at monthly meetings and action items determined. Results: From March 2014 to December 2015, 246 cases were reviewed. The elements were chosen for the level 1 & 2 review and collating objective data. Whether the patient was treated with curative intent, procedures were definitive or palliative, if chemotherapy, radiation or surgery were delivered, or if there was a complication within the last 2 weeks of life were recorded. Hospitalization features such as institution of palliative care, appropriate advanced directives, code status on admission and at death, and ICU admission were noted. Issues often arose when deaths were expected and predicted at admission. Increased need for inpatient palliative care teams and hospice support have been recognized. Better communication between patients, families, and oncologists should reduce hospitalization for patients whose death is imminent. Conclusions: Submitting 100% of inpatient deaths to formal mortality review discloses opportunities to improve care and allows focus on problems that occurred even when the patient’s death was expected.

Mobile Palliative Care Teams Hit the Road

2009 ◽  
Vol 2 (5) ◽  
pp. 1-17
Author(s):  
PATRICE WENDLING
Keyword(s):  
Palliative Care ◽  
The Road ◽  
Palliative Care Teams

scholarly journals Scalable Model for Delivery of Inpatient Palliative Care During a Pandemic

2021 ◽  
pp. 104990912110057
Author(s):  
Ebru Kaya ◽  
Warren Lewin ◽  
David Frost ◽  
Breffni Hannon ◽  
Camilla Zimmermann
Keyword(s):  
Palliative Care ◽  
High Quality ◽  
Consultation Service ◽  
General Internal ◽  
Virtual Care ◽  
Palliative Care Teams ◽  
Order Sets ◽  
Embedded Model ◽  
Advance Care ◽  
Care Capacity

Background: During the COVID-19 pandemic, hospitals worldwide have reported large volumes of patients with refractory symptoms and a large number of deaths attributable to COVID-19. This has led to an increase in the demand for palliative care beyond what can be provided by most existing programs. We developed a scalable model to enable continued provision of high-quality palliative care during a pandemic for hospitals without a palliative care unit or existing dedicated palliative care beds. Methods: A COVID-19 consultation service working group (CWG) was convened with stakeholders from palliative care, emergency medicine, critical care, and general internal medicine. The CWG connected with local palliative care teams to ensure a coordinated response, and developed a model to ensure high-quality palliative care provision. Results: Our 3-step scalable model included: (1) consultant model enhanced by virtual care; (2) embedded model; and (3) cohorted end-of-life unit for COVID-19 positive patients. This approach was enabled through tools and resources to ensure specialist palliative care capacity and rapid upskilling of all clinicians to deliver basic palliative care. Enabling tools and resources included a triage tool for in-person versus virtual care, new medication order sets and guidelines to facilitate prescribing for common symptoms, and lead advance care planning and goals of care discussions. A redeployment plan of generalist physicians and psychiatrists was created to ensure seamless provision of serious illness care. Conclusion: This 3-step, scalable approach enables rapid upscaling of palliative care in collaboration with generalist physicians, and may be adapted for future pandemics or natural disasters.

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