How Do Patients Followed by a Palliative Care Team Use the Emergency Department?

2019 ◽  
Author(s):  
Teresa Tavares
Keyword(s):  
Emergency Department ◽  
Palliative Care ◽  
Palliative Care Team ◽  
Care Team

An Active In-Home Physician Model of Palliative Care and Its Resulting Performance Indicators Related to Home Deaths, Unplanned Emergency Department Visits and Unplanned Hospital Admissions

2020 ◽  
Vol 36 (1) ◽  
pp. 46-49
Author(s):  
Colleen Webber ◽  
Aurelia Ona Valiulis ◽  
Peter Tanuseputro ◽  
Valerie Schulz ◽  
Tavis Apramian ◽  
...  
Keyword(s):  
Emergency Department ◽  
Palliative Care ◽  
Hospital Admissions ◽  
Case Series ◽  
Palliative Care Team ◽  
Emergency Department Visits ◽  
Care Team ◽  
Retrospective Case ◽  
Palliative Care Teams ◽  
Unplanned Hospital Admissions

Background: Limited research has characterized team-based models of home palliative care and the outcomes of patients supported by these care teams. Case presentation: A retrospective case series describing care and outcomes of patients managed by the London Home Palliative Care Team between May 1, 2017 and April 1, 2019. Case management: The London Home Palliative Care (LHPC) Team care model is based upon 3 pillars: 1) physician visit availability 2) active patient-centered care with strong physician in-home presence and 3) optimal administrative organization. Case outcomes: In the 18 month study period, 354 patients received care from the London Home Palliative Care Team. Most significantly, 88.4% ( n = 313) died in the community or at a designated palliative care unit after prearranged direct transfer; no comparable provincial data is available. 21.2% ( n = 75) patients visited an emergency department and 24.6% ( n = 87) were admitted to hospital at least once in their final 30 days of life. 280 (79.1%) died in the community. These values are better than comparable provincial estimates of 62.7%, 61.7%, and 24.0%, respectively. Conclusion: The London Home Palliative Care (LHPC) Team model appears to favorably impact community death rate, ER visits and unplanned hospital admissions, as compared to accepted provincial data. Studies to determine if this model is reproducible could support palliative care teams achieving similar results.

“They Shouldn’t Be Coming to the ED, Should They?”: A Descriptive Service Evaluation of Why Patients With Palliative Care Needs Present to the Emergency Department

2017 ◽  
Vol 34 (10) ◽  
pp. 984-990 ◽  
Author(s):  
Emilie Green ◽  
Sarah Ward ◽  
Will Brierley ◽  
Ben Riley ◽  
Henna Sattar ◽  
...  
Keyword(s):  
Emergency Department ◽  
Palliative Care ◽  
A Priori ◽  
Service Evaluation ◽  
Palliative Care Team ◽  
Care Team ◽  
Care Needs ◽  
Direct Admission ◽  
Palliative Care Needs ◽  
Single Center Observational Study

Background: Patients with palliative care needs frequently attend the emergency department (ED). There is no international agreement on which patients are best cared for in the ED, compared to the primary care setting or direct admission to the hospital. This article presents the quantitative phase of a mixed-methods service evaluation, exploring the reasons why patients with palliative care needs present to the ED. Methods: This is a single-center, observational study including all patients under the care of a specialist palliative care team who presented to the ED over a 10-week period. Demographic and clinical data were collected from electronic health records. Results: A total of 105 patients made 112 presentations to the ED. The 2 most common presenting complaints were shortness of breath (35%) and pain (28%). Eighty-three percent of presentations required care in the ED according to a priori defined criteria. They either underwent urgent investigation or received immediate interventions that could not be delivered in another setting, were referred by a health-care professional, or were admitted. Conclusions: Findings challenge the misconception that patients known to a palliative care team should be cared for outside the ED. The importance and necessity of the ED for patients in their last years of life has been highlighted, specifically in terms of managing acute, unpredictable crises. Future service provision should not be based solely on a patient’s presenting complaint. Further qualitative research exploring patient perspective is required in order to explore the decision-making process that leads patients with palliative care needs to the ED.

A simplified screening tool to identify seriously ill patients in the Emergency Department for referral to a palliative care team

2017 ◽  
Vol 83 (5) ◽  
Author(s):  
Paolo Cotogni ◽  
Anna De Luca ◽  
Andrea Evangelista ◽  
Claudia Filippini ◽  
Renata Gili ◽  
...  
Keyword(s):  
Emergency Department ◽  
Palliative Care ◽  
Screening Tool ◽  
Palliative Care Team ◽  
Care Team ◽  
Seriously Ill Patients ◽  
Seriously Ill

The approach for development of palliative care team database

2015 ◽  
Vol 10 (2) ◽  
pp. 901-905
Author(s):  
Hiroyuki Watanabe ◽  
Miwako Eto ◽  
Keiichi Yamasaki
Keyword(s):  
Palliative Care ◽  
Palliative Care Team ◽  
Care Team

Nursing Perspectives: Building an Interprofessional Perinatal Palliative Care Team

NeoReviews ◽  
2014 ◽  
Vol 15 (10) ◽  
pp. e422-e425 ◽  
Author(s):  
B. Dean ◽  
K. McDonald
Keyword(s):  
Palliative Care ◽  
Palliative Care Team ◽  
Care Team ◽  
Perinatal Palliative Care
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