Use of Palliative Care Consultation Services for Infants With Life-Threatening Conditions in a Metropolitan Hospital
| Autor: | Vicki S. Hertzberg, S Nicole McLaughlin, Anthony J Piazza, Mi Kyung Song |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Palliative care Neonatal intensive care unit Population Psychological intervention MEDLINE 03 medical and health sciences 0302 clinical medicine Hospitals Urban 030225 pediatrics Medicine Humans 030212 general & internal medicine education Referral and Consultation Retrospective Studies Patient Care Team education.field_of_study Terminal Care business.industry Medical record Palliative Care Infant Newborn Infant Retrospective cohort study General Medicine Patient Acceptance of Health Care Metropolitan area United States Family medicine Pediatrics Perinatology and Child Health Hospice and Palliative Care Nursing Female business |
| Zdroj: | Advances in neonatal care : official journal of the National Association of Neonatal Nurses. 20(2) |
| ISSN: | 1536-0911 |
| Popis: | Background Palliative care is becoming an important component for infants with life-limiting or life-threatening conditions and their families. Yet palliative care practices appear to be inconsistent and sporadically used for infants. Purpose The purpose of this study was to describe the use of an established pediatric palliative care team for seriously ill infants in a metropolitan hospital. Methods This was a retrospective medical record review. Findings The population included 64 infants who were admitted to a level IV neonatal intensive care unit (NICU) and then died during hospitalization between January 2015 and December 2016. Most infants died in an ICU (n = 63, 95%), and only 20 infants (31%) received palliative care consultation. Most common reasons for consultation were care coordination, defining goals of care and end-of-life planning, and symptom management. Implications for practice Palliative care consultation at this institution did not change the course of end-of-life care. Interventions provided by the ICU team to infants surrounding end of life were similar to those in infants receiving palliative care services from the specialists. Our findings may be useful for developing guidelines regarding how to best utilize palliative care services for infants with life-threatening conditions who are admitted to an ICU. Implications for research These finding support continued research in neonatal palliative care, more specifically the impact of palliative care guidelines and algorithms. |
| Databáze: | OpenAIRE |
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