Let There Be PEACE: Improving Continuous Symptom Monitoring in Hospice Patients
| Autor: | Cory Ingram, Sherri Dodd, Erin L. Shadbolt, Erin Manke, Dean B Eide, Charles J. Bruce, Linday Streeter |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Quality management TACP technology-assisted care pathway Population Symptom monitoring Survey question 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Respite care medicine 030212 general & internal medicine Intensive care medicine CMP condition management protocol WI Wisconsin education PDSA Plan-Do-Study-Act General Nursing Hospice care PEACE Palliative/End of Life/Assessment/Care Coordination/Evidence Based Program QI quality improvement education.field_of_study lcsh:R5-920 business.industry Anesthesiology and Pain Medicine Caregiver satisfaction Family medicine Original Article Neurology (clinical) business lcsh:Medicine (General) PDCA |
| Zdroj: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 4, Iss 3, Pp 287-294 (2020) Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| ISSN: | 2542-4548 |
| Popis: | Objective To ensure that a standardized method of continuous symptom monitoring was available to hospice patients enrolled at our institution. Patients and Methods The Palliative/End-of-Life/Assessment/Care Coordination/Evidence-Based Program (PEACE) seeks to enhance the provision of hospice care through symptom control and patient support. We conducted a quality improvement initiative between November 1, 2015, and March 31, 2017, following Define-Measure-Analyze-Improve-Control methodology to improve hospice care at a rural hospice. The gap in our current hospice model was a standardized method of continuous symptom monitoring. We aimed to explore ways in which technology-assisted care coordination could enhance end-of-life and hospice care. We measured continuous symptom assessments through co-developed condition management protocols (CMPs), technology-assisted care pathways (TACPs), nursing visits, length of stay, respite days, and satisfaction survey data from patients, caregivers, and hospice staff. At baseline, no continuous symptom monitoring was being performed. Baseline data for our enrolled population was compared with data from patients who were eligible, but opted out. Results We monitored 50 patients using CMP and TACP. The mean ± SD number of skilled nursing visits per patient in the enrolled population compared with those who were eligible but opted out was 13.7±7.6 vs 14.2±10.5, respectively. In response to the survey question, “Because of the overall program, I felt supported and confident at home,” 74% (37 of 50) of patients and caregivers answered, “always.” Conclusion PEACE enhanced hospice care through symptom control and patient support through CMP and TACP. PEACE is a unique and feasible care platform for hospice patients, with high patient and caregiver satisfaction. |
| Databáze: | OpenAIRE |
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