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Articles 1 - 23 of 23
Full-Text Articles in Medicine and Health Sciences
Mortality In Medicine, Maren Dougherty
Mortality In Medicine, Maren Dougherty
Honors Projects
Practitioners in the medical field attend to health issues across one’s lifespan from birth to death and everything in between. A common conflict in today’s practice of medicine is establishing the true function of medicine. The complete reliance on medicine to ward off death proliferates the biomedicalization of natural life processes, like death. Biomedicalization is the process in which medical authority and its accompanying technology begin to control other aspects of daily life. With medicine’s ultimate goal being to cure disease and fight death, it interferes with the inevitability of human mortality. End-of-life treatment can be taken too far without …
Preventive Strategies For Elder Abuse Within Hospice Care By Healthcare Professionals, Joshua Eason
Preventive Strategies For Elder Abuse Within Hospice Care By Healthcare Professionals, Joshua Eason
Nursing | Student Research Posters
Background: Healthcare professionals providing hospice care need to have particular specialized abilities, empathy, and trust. Unfortunately, some of these medical professionals are unable to provide their patients the care they need, so they will instead abuse and ignore them. Elder abuse must be identified and addressed in hospice care settings if older patients are to have their rights and dignity upheld and a standardized, compassionate end-of-life care program is to be provided for each patient.
Purpose: The purpose of this study is to examine the effectiveness and preventative strategies for elder abuse, implemented by healthcare providers within the hospice care …
Effects Of Chaplain Care On Coping With Cancer, Sarah Battiston, Scott L. Baughan
Effects Of Chaplain Care On Coping With Cancer, Sarah Battiston, Scott L. Baughan
Clinical Research in Practice: The Journal of Team Hippocrates
A clinical case decision report using:
Piderman KM, Radecki CR, Jenkins SM, et al. Hearing and heeding the voices of those with advanced illnesses. Journal of Palliative Care. 2020;35(4):248-255. https://doi.org/10.1177/0825859720928623
for a patient having difficulty coping with cancer
Implementation Of Prognosticator Algorithm For Initiation Of Serious Illness Discussions And Improving The Rate Of Palliative And Hospice Referrals, Joy Isebor
Doctor of Nursing Practice (DNP) Scholarly Projects
Context: Early serious illness conversations related to end-of-life and goals of care with seriously ill patients have been associated with improving patients' outcomes and quality of care (Bernacki et al., 2015). However, initiating these serious illness discussions has been challenging in the home-based primary care setting.
Objectives: To train and support home-based primary care clinicians in integrating best practices in serious illness discussions and decision-making engagement among patients sixty-five and older with serious illnesses, optimize the alignment between patient goals and the medical care they receive, improving their quality of life and the rate of palliative care and hospice referrals. …
Conference Proceedings: Select Abstracts Presented At 2023 Advocate Aurora Scientific Day
Conference Proceedings: Select Abstracts Presented At 2023 Advocate Aurora Scientific Day
Journal of Patient-Centered Research and Reviews
This abstract supplement includes findings presented at the 49th annual Advocate Aurora Scientific Day on May 24, 2023. The Scientific Day symposium provides a virtual forum for the sharing of preliminary results from research and case studies conducted by faculty, fellows, residents, and other health professionals associated with Illinois-based Advocate Health Care and Wisconsin-based Aurora Health Care.
Increasing Medical-Surgical Nurses' Palliative Care Self-Efficacy Using The Cares Tool: A Quality Improvement Project, Rebekkah L. Stanko
Increasing Medical-Surgical Nurses' Palliative Care Self-Efficacy Using The Cares Tool: A Quality Improvement Project, Rebekkah L. Stanko
Nursing (graduate) Student Scholarship
Background: Over 35% of all deaths in the United States occur in the acute care hospital setting, and 75% of end-of-life (EOL) patients require palliative care. Registered nurses (RNs) with strong palliative care self-efficacy (PCSE) promote positive death experiences for patients and families by minimizing patient suffering and maintaining clinical and ethical standards. Employers can enhance RNs’ PCSE through educational interventions and resources.
Problem: Inpatient acute care hospital RNs lack PCSE because acute care is traditionally curative, and RNs receive limited EOL care education.
Methods: A quality improvement project was conducted. Participants were a convenience sample of RNs …
Pediatric Palliative Care Training To Advance Nurses’ Knowledge And Increase Patient Referrals, Whitney Lynn Stone, Lisa Merritt, Tammy Childers
Pediatric Palliative Care Training To Advance Nurses’ Knowledge And Increase Patient Referrals, Whitney Lynn Stone, Lisa Merritt, Tammy Childers
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Objective: The purpose of this evidence-based practice quality improvement project was to implement an educational intervention to improve pediatric palliative care services in a Pediatric Intensive Care Unit (PICU). The goal was to improve nurses’ knowledge of palliative care and increase the number of palliative care consults.
Methods: Educational sessions were created using the End-of-Life Nursing Education Consortium (ELNEC) Pediatric Curriculum. Participants included 46 PICU nurses. Knowledge of palliative care was measured at three timepoints; pre-, immediately post- and four weeks post-intervention. The number of palliative care referrals were measured at two timepoints; three months pre- and three months post-intervention. …
Exploring Palliative Care Education Needs And Desires Of Advanced Practice Providers In The Critical Care Setting, Jill Marie Clemmons
Exploring Palliative Care Education Needs And Desires Of Advanced Practice Providers In The Critical Care Setting, Jill Marie Clemmons
DNP Projects
Background: Critical care providers in the ICU setting are discovering that their patients are living longer with more comorbid conditions. They are confronted with palliative care situations almost daily. Recently palliative care has been thrust into the forefront of critical care and is a resource critical care nurse practitioners and physicians’ assistants need to be able to utilize. A gap in the literature has been found in the overall education of critical care providers regarding palliative care.
Purpose: The purpose of this study was to determine what palliative care training trauma/cardiac/neurological, and pulmonary critical care providers had previously received …
Clinical And Socioeconomic Predictors Of Palliative Care Utilization, Rohan Reddy Tummala, Andrew Manuel De Jesus, Natasha Danielle Tillett, Jeffrey Scott Nelson, Christine Marie Lamey
Clinical And Socioeconomic Predictors Of Palliative Care Utilization, Rohan Reddy Tummala, Andrew Manuel De Jesus, Natasha Danielle Tillett, Jeffrey Scott Nelson, Christine Marie Lamey
Longitudinal Scholar's Project
INTRODUCTION: Palliative care continues to gain recognition among primary care providers, as patients suffering from chronic conditions may benefit from use of this growing service.
OBJECTIVES: This single-institution quality improvement study investigates the clinical characteristics and socioeconomic status (SES) of palliative care patients and identifies predictors of palliative care utilization.
METHODS: Retrospective chart review was used to compare clinical and SES parameters for three groups of patients: (1) palliative care patients who attended at least one visit since the inception of the University Clinical Health Palliative Care Clinic in Memphis, TN in October 2018 (n = 61), …
To Anticoagulate Or Not: Decision Making Surrounding Anticoagulation In Patients In Hospice And Palliative Care Programs, Erin Kelly, Do, John Liantonio, Md, Mba, Hdmc, Debra Vermette, Md
To Anticoagulate Or Not: Decision Making Surrounding Anticoagulation In Patients In Hospice And Palliative Care Programs, Erin Kelly, Do, John Liantonio, Md, Mba, Hdmc, Debra Vermette, Md
Health Equity and Quality Improvement (HEQI) Summit
Objectives
- Describe the current guidelines for CAT treatment. - Assess risk factors for bleeding and thrombosis in cancer patients and risk/benefits of anticoagulation.
- Recognize the need for individualized anticoagulation plans in order to make informed decisions that may differ from the guidelines.
- Propose anticoagulation in hospice if it will achieve the goals of the patient.
Screening For Palliative Care Services In An Assisted Living Facility, Maria Delia Crosby
Screening For Palliative Care Services In An Assisted Living Facility, Maria Delia Crosby
College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications
Background: Palliative care services remain under-utilized, even as evidence suggests that early palliative care leads to positive health outcomes, reduced ED visits, and substantial cost savings. Barriers include a lack of knowledge of palliative care services in the community, and under-utilization of validated assessment tools, including a symptom checklist. Aims of this project: 1. To determine whether the integration of validated community-based palliative care screening tool in an assisted living setting will identify older adults with unmet palliative care needs. 2. To determine if tool implementation could lead to a referral for palliative care consultation.
Methods: A screening tool developed …
An Evaluation Of The Advance Directives-Live Action Simulation Training (Ad-Last) Program, Alexandra Rosa Spinelli
An Evaluation Of The Advance Directives-Live Action Simulation Training (Ad-Last) Program, Alexandra Rosa Spinelli
Theses and Dissertations
Advance Care Planning (ACP) is a process that captures a patient’s wishes in the case of future circumstances in which they are unable to express them. Studies show that less than one third of the general population has completed some type of formal Advance Directive (AD). There are barriers to completing ADs, and these barriers operate on multiple levels, including, patient, provider and institutional. To improve providers’ capacity to help patients complete ACP, and overcome these barriers, a provider-focused intervention was conducted. The current study is an analysis of archival data collected from the Advance Directives-Live Action Simulation Training (AD-LAST) …
Development Of Unit-Specific Educational Interventions For Inpatient Palliative Care Needs, Michael S. Myers
Development Of Unit-Specific Educational Interventions For Inpatient Palliative Care Needs, Michael S. Myers
DNP Projects
Purpose: The purpose of this project is to determine the need for palliative care at Norton Women’s and Children’s Hospital as well as assess the knowledge and attitudes of the healthcare workers in that facility concerning palliative and end of life care. Methods: For the purposes of this study, the units of the hospital were divided into four categories: intensive care unit (ICU), progressive care unit (PCU), oncology, and medical surgical. A needs assessment of each type of unit was conducted in two parts. The first part was a retrospective chart review to determine the volume of patients on each …
It’S Not About You—It’S About Me, Robert F. Johnson
It’S Not About You—It’S About Me, Robert F. Johnson
Peer Reviewed Articles
Hold Me, a film written and directed by Teace Snyder (2016) was distributed by email to palliative care clinicians and educators. The viewpoint presented here is not a review of this movie as a drama for entertainment. Rather it reviews the film to address the suggestion by its producers that it could serve as an adjunct to palliative care professional education.
We Are The Medicine, Madalynn Wendland, Toni Speed
We Are The Medicine, Madalynn Wendland, Toni Speed
Interprofessional Education
We are all healers— to ourselves, each other and the world around us. Whether you are on the path of becoming a health professional, or have been in practice for a long time, this half-day workshop will help you to view healing from a holistic perspective that draws from the ancient traditions while respecting contemporary science.
Increasing Completion Of Advance Directives In The Primary Care Setting, Emily A. Vayda
Increasing Completion Of Advance Directives In The Primary Care Setting, Emily A. Vayda
Family Medicine Clerkship Student Projects
In the state of Vermont we have an increasing senior population that is greater than the national average. with this increase comes a greater need to end of life care planning. Completion of advance directives in the primary care setting reduces costs in end of life care, but also reduces stress and anxiety for family members of the patient receiving care. To increase completion of advance directive patients and providers will be educated on advance care planning and informed of community resources that aid in completion of the many forms available to patients.
Palliative Players: Project Development And Initial Implementation, Eliza Eager
Palliative Players: Project Development And Initial Implementation, Eliza Eager
Muskie School Capstones and Dissertations
The Palliative Players are screened and trained hospice volunteers who provide a low-cost, sustainable, role-playing resource for use teaching communication skills to healthcare workers who discuss serious illness with patients and their families. The Palliative Players project was conceived and developed in early 2017 by Dr. Lauren Michalakes, Medical Director of Palliative Care at Coastal Healthcare Alliance (CHA); Sarah Dwelley, RN; Flic Shooter, Director of Hospice Volunteers of Waldo County (HVOWC); and Eliza Eager, Project Coordinator; to provide believable, emotive simulated patients (SPs) for role-play in workshops teaching healthcare workers communication tools and skills for use in conversations with patients …
Hospice And Palliative Care: Imperative To The Education Of Nursing, Crystal Lynn Jordan
Hospice And Palliative Care: Imperative To The Education Of Nursing, Crystal Lynn Jordan
Nursing Theses and Capstone Projects
Many advanced practice nursing programs do not have hospice and palliative care content included in their curricula. Reviewing the literature regarding the nature of hospice and palliative care content in advanced practice nursing curricula revealed few published studies. Rather than a small snapshot of what end-of-life care entails, it is vital to integrate end-of-life care into every aspect taught in advance practice nursing school. The purpose of this thesis was ascertain the nature of hospice and palliative care content contained in advanced practice nursing curricula. A survey was sent to advance practice nursing program directors asking for information related to …
Caring For Caregivers: Addressing Caregiver Burden In Newtown, Connecticut, Zachary Wunrow
Caring For Caregivers: Addressing Caregiver Burden In Newtown, Connecticut, Zachary Wunrow
Family Medicine Clerkship Student Projects
In 2015, thirty-four million Americans provided unpaid care to an adult 50 years or older. Due to an aging population and an increased number of individuals living with chronic disease, the niche that caregivers occupy in healthcare administration will only become more invaluable in the coming years. However, studies demonstrate that one-third of caregivers report a high burden of care, and these stresses are accompanied by documented health risks including higher rates of depression, insomnia, and all-cause mortality. This project aims to increase awareness about caregiver burden via a pamphlet for caregivers listing local resources that may alleviate burden, and …
Introductory Address Delivered Before The Students Of Jefferson Medical College, Philadelphia., Samuel Henry Dickson, Md, Lld
Introductory Address Delivered Before The Students Of Jefferson Medical College, Philadelphia., Samuel Henry Dickson, Md, Lld
Jefferson Medical College Opening Addresses
No abstract provided.
Lecture Introductory To The Course On Materia Medica And General Therapeutics, In The Jefferson Medical College Of Philadelphia, Delivered October 13th 1857., Thomas D. Mitchell, Md
Lecture Introductory To The Course On Materia Medica And General Therapeutics, In The Jefferson Medical College Of Philadelphia, Delivered October 13th 1857., Thomas D. Mitchell, Md
Jefferson Medical College Opening Addresses
No abstract provided.
Introductory For 1844-5, On The Present Position Of Some Of The Most Important Of The Modern Operations Of Surgery., Thomas Dent Mutter, Md
Introductory For 1844-5, On The Present Position Of Some Of The Most Important Of The Modern Operations Of Surgery., Thomas Dent Mutter, Md
Jefferson Medical College Opening Addresses
No abstract provided.
Lecture Introductory To His Course Of Lectures For 1843-4., Charles D. Meigs, Md
Lecture Introductory To His Course Of Lectures For 1843-4., Charles D. Meigs, Md
Jefferson Medical College Opening Addresses
No abstract provided.