Paramedic utility in screening patients who present to Emergency Medical Services and who may benefit from an Advance Care Plan: A mixed methods study with explanatory sequential design.

Autor:	Kirby, K., Liddiard, C., Pocock, L., Black, S., Diaper, A., Goodwin, L., Mensah, T., Proctor, A., Richards, G., Taylor, H., Voss, S., Benger, J.
Předmět:	PATIENTS IDENTIFICATION RESEARCH funding EMERGENCY medical technicians EMERGENCY medical services DESCRIPTIVE statistics ATTITUDES of medical personnel RESEARCH methodology MEDICAL screening TERMINALLY ill PHENOMENOLOGY TERMINAL care ADVANCE directives (Medical care) MEDICAL referrals
Zdroj:	Progress in Palliative Care; Jun2024, Vol. 32 Issue 3, p189-196, 8p
Abstrakt:	We used a two-phased mixed methods study with an explanatory sequential design to understand how frequently paramedics attend patients who, on paramedic assessment with the Gold Standards Framework Proactive Identification Guidance, are end-of-life and have advance care planning. We subsequently explored paramedic views on paramedic screening of patients to assess if they are end-of-life and onward referral to their General Practitioner for advance care planning. Paramedics screened and recorded 14.9% of patients as end-of-life and 44.3% of these patients were assessed to have no advance care plan in place. When paramedics screened patients and they did have an advance care plan in place, 36.8% had only a Do Not Attempt Cardiopulmonary Resuscitation. Paramedics found using the Gold Standards Framework Proactive Identification Guidance to screen patients for end-of-life status useful and straightforward and considered themselves well-placed to complete this task. Future research is required to address the practicalities of implementing a paramedic screening and referral tool for end-of-life care that results in the intended outcome of supporting effective advance care planning. [ABSTRACT FROM AUTHOR]
Databáze:	Supplemental Index
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