alexa Lessons Learned from a Palliative Care-Related Communic
ISSN: 2165-7386

Journal of Palliative Care & Medicine
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Lessons Learned from a Palliative Care-Related Communication Intervention in an Adult Surgical Intensive Care Unit

Rebecca A. Aslakson1,*, Maureen Coyle2, Rhonda Wyskiel3, Christina Copley3, Kathryn Han3, Nita Ahuja4 and Peter J Pronovost1

1Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, Baltimore, USA

2Department of Surgical Social Work, The Johns Hopkins Hospital, Baltimore, USA

3Department of Surgical Nursing, The Johns Hopkins Hospital, Baltimore, USA

4Department of Surgery and Oncology, The Johns Hopkins University School of Medicine, Baltimore, USA

*Corresponding Author:
Rebecca A. Aslakson, MD, PhD
Department of Anesthesiology and Critical Care Medicine
The Johns Hopkins School of Medicine
Baltimore, USA
Tel: 410-955-9082
Fax: 410-955-8978
E-mail: [email protected]

Received date: December 30, 2014 Accepted date: November 28, 2015 Published date: November 30, 2015

Citation: Aslakson R, Coyle M, Wyskiel R, Copley C, Han K, et al. (2015) Lessons Learned from a Palliative Care-Related Communication Intervention in an Adult Surgical Intensive Care Unit. J Palliat Care Med 5:240. doi:10.4172/2165-7386.1000240

Copyright: © 2015 Aslakson RA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Purpose: Multi-disciplinary, palliative care-related family meetings for intensive care unit(ICU) patients can decrease ICU length-of-stay and family anxiety and distress, but it is unclear how to arrange such meetings in surgical ICUs (SICUs). Materials and Methods: Through meetings with SICU clinician stakeholders, we determined trigger criteria and intervention content. We piloted the intervention over 6 months in a single, 16-bed adult SICU. Results: Clinician stakeholders reached consensus for a 7 day trigger criteria. A social worker arranged the multi-disciplinary meetings. During the six month pilot, 25 patients were identified but only approximately 60% received meetings. The 7 day trigger identified a patient population with high in-hospital mortality (44%) and prolonged ICU and hospital median lengths of stay (34 and 43 days, respectively). The pilot was stopped at 6 months due to high burden of work for social workers and an inability to standardize meeting content. Conclusion: The 7 day criteria for SICU admission identified a subset of high mortality SICU patients likely to benefit from proactive palliative care-related meetings. Meetings were arranged but the format did not ensure meeting content and the intense time commitment of arranging meetings prevented sustainability.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords