Development of a Protocol for Successful Palliative Care Consultation in Population of Patients Receiving Mechanical Circulatory Support

Autor: Alexia M. Torke, Joycelyn Howard, Marco Caccamo, Irmina Gradus-Pizlo, Shilpee Sinha, Carey Belcher, James E. Slaven
Rok vydání: 2016
Předmět:
Advance care planning
Adult
Male
Palliative care
Heart Diseases
Surrogate decision-maker
medicine.medical_treatment
Population
030204 cardiovascular system & hematology
Medical and Health Sciences
Cohort Studies
03 medical and health sciences
Advance Care Planning
Young Adult
0302 clinical medicine
Clinical Protocols
Anesthesiology
medicine
Humans
030212 general & internal medicine
education
ventricular assist device
Referral and Consultation
General Nursing
Aged
Retrospective Studies
Protocol (science)
education.field_of_study
mechanical circulatory support
business.industry
Palliative Care
Retrospective cohort study
surrogate decision maker
Length of Stay
Middle Aged
medicine.disease
humanities
Proxy
Anesthesiology and Pain Medicine
Ventricular assist device
Preoperative Period
Female
Neurology (clinical)
Medical emergency
Heart-Assist Devices
business
Destination therapy
Zdroj: Journal of pain and symptom management, vol 54, iss 4
ISSN: 1873-6513
Popis: BackgroundIn 2014, Joint Commission recommended palliative care (PC) engagement in ventricular assist device (VAD) implantation as destination therapy. Limited information is available on established PC protocols in the mechanical circulatory support (MCS) population.MeasuresThe goals of our PC consultation were to document advance care planning (ACP) discussions and designate a surrogate decision maker (SDM) before MCS implantation. A retrospective analysis compared the frequency of PC consults, ACP discussion, and SDM before and after protocol implementation.InterventionA protocol was developed to conduct interdisciplinary PC consultations for the MCS population.OutcomesThe percentage of PC consults placed before MCS implantation increased from 11 (17.2%) before protocol to 56 (96.6%) after protocol (P
Databáze: OpenAIRE
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