Development of an Outpatient Palliative Care Protocol to Monitor Fidelity in the Emergency Medicine Palliative Care Access Trial
| Autor: | Aminat Ibikunle, Frank R Chung, Abigail M Schmucker, Jeanne Cho, Susan Cohen, Deborah J Shim, EMPallA Investigators, Corita R. Grudzen |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Palliative care Specialty Staffing law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Ambulatory care 030502 gerontology law Surveys and Questionnaires Health care Ambulatory Care Medicine Humans General Nursing Aged Aged 80 and over Practice Patterns Nurses' business.industry Palliative Care General Medicine Emergency department Middle Aged Checklist Anesthesiology and Pain Medicine Models of Care Studies 030220 oncology & carcinogenesis Emergency medicine Emergency Medicine Female 0305 other medical science business |
| Zdroj: | J Palliat Med |
| Popis: | Introduction: Palliative care is recommended for patients with life-limiting illnesses; however, there are few standardized protocols for outpatient palliative care visits. To address the paucity of data, this article aims to: (1) describe the elements of outpatient palliative care that are generalizable across clinical sites; (2) achieve consensus about standardized instruments used to assess domains within outpatient palliative care; and (3) develop a protocol and intervention checklist for palliative care clinicians to document outpatient visit elements that might not normally be recorded in the electronic heath record. Methods: As part of a randomized control trial of nurse-led telephonic case management versus specialty, outpatient palliative care in older adults with serious life-limiting illnesses in the Emergency Department, we assessed the structural characteristics of outpatient care clinics across nine participating health care systems. In addition, direct observation of outpatient palliative care visits, consultation from content experts, and survey data were used to develop an outpatient palliative care protocol and intervention checklist. Implementation: The protocol and checklist are being used to document the contents of each outpatient palliative care visit conducted as a part of the Emergency Medicine Palliative Care Access (EMPallA) trial. Variation across palliative care team staffing, clinic session capacity, and physical clinic model presents a challenge to standardizing the delivery of outpatient palliative care. |
| Databáze: | OpenAIRE |
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