Symptom Assessment and Hospital Utilization in a Home-Based Palliative Care Program
Autor: | Briana Rotter, Marian Grant |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male medicine.medical_specialty Quality management Palliative care media_common.quotation_subject MEDLINE Symptom assessment Oregon 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Humans Medicine Hospital utilization 030212 general & internal medicine Program Development Aged media_common Aged 80 and over Advanced and Specialized Nursing Community and Home Care business.industry Palliative Care Middle Aged Patient Acceptance of Health Care Home Care Services Quality Improvement Home based Hospitals Feeling 030220 oncology & carcinogenesis Quality of Life Physical therapy Anxiety Female Symptom Assessment medicine.symptom business |
Zdroj: | Journal of Hospice & Palliative Nursing. 20:332-337 |
ISSN: | 1539-0705 1522-2179 |
DOI: | 10.1097/njh.0000000000000448 |
Popis: | Palliative care delivery is shifting to the home, yet data are limited on symptom assessment tools and protocols for that setting. A quality improvement project was done in a home-based palliative care program to imbed the Edmonton Symptom Assessment System into the electronic health record. The purpose of the quality improvement project was to track symptom severity and collect utilization data. Baseline data were collected on 35 patients for symptom presence and severity as well as hospital utilization and readmission. The most common symptoms were tiredness, pain, and a lack of feeling of overall well-being. The most severe symptoms, those with a rating of 6 of 10 or higher, were pain, drowsiness, and anxiety. Seventy-seven percent of the symptoms within the Edmonton Symptom Assessment System showed an improvement over the 3-month QI project per the electronic health record data. Hospitalization rates also went from 4.2% to 2.6% and 30-day readmissions were reduced from 15% to 0%. The results suggest that the palliative care program was able to improve symptoms through the use of Edmonton Symptom Assessment System and that that may have affected hospital utilization. |
Databáze: | OpenAIRE |
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