Palliative Medicine Consultation Reduces Length of Stay, Improves Symptom Management, and Clarifies Advance Directives in the Geriatric Trauma Population.

Autor: Kupensky D; St Elizabeth Youngstown Hospital, Youngstown, Ohio (Mss Kupensky, Hileman, and Chance); and Department of Sociology, Anthropology, and Gerontology, Youngstown State University, Youngstown, Ohio (Mr Emerick)., Hileman BM, Emerick ES, Chance EA
Jazyk: angličtina
Zdroj: Journal of trauma nursing : the official journal of the Society of Trauma Nurses [J Trauma Nurs] 2015 Sep-Oct; Vol. 22 (5), pp. 261-5.
DOI: 10.1097/JTN.0000000000000151
Abstrakt: The impact of Palliative Medicine Consultation (PMC) on geriatric trauma patients' outcomes was evaluated. It was hypothesized that patients with PMC would have a shorter length of stay. Patients aged 65 years or older and admitted to trauma services were analyzed. Patients with a PMC were more likely to have a documented advance directive discussion (P < .001) and a code status update (P < .001). Length of stay was reduced for patients with a PMC on or before trauma day 2 compared to those with a PMC after trauma day 2. Palliative Medicine should be consulted early into a geriatric patient's hospital stay.
Databáze: MEDLINE