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Keep The Beat With Heart Failure Education: A Quality Improvement Project, Brenda L. Peterson 2018 University of San Francisco

Keep The Beat With Heart Failure Education: A Quality Improvement Project, Brenda L. Peterson

Master's Projects and Capstones

Abstract

Problem: Heart failure (HF), also known as congestive heart failure (CHF), is the number one diagnosis-related group (DRG) for people 65 years of age and older in the United States. This disease group is complicated and debilitating, requiring frequent hospitalizations with high mortality rates. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has identified CHF as an area for improvement in hospitals.

Context: This was a quality improvement project for an integrated medical center in the Central Valley, California with over 19,000 HF patients. In 2018, for patients 65 years and older, HF is the third-most admitted ...


Needs Assessment For Palliative Care In Pediatric Oncology: An Integrative Literature Review, Tabitha Negrete 2018 DePaul University

Needs Assessment For Palliative Care In Pediatric Oncology: An Integrative Literature Review, Tabitha Negrete

Grace Peterson Nursing Research Colloquium

Abstract

Background: Cancer is the leading cause of non-accidental death in childhood. Cancer is the primary disease for which pediatric palliative care services are utilized worldwide. Improvement in pediatric palliative care has been identified as an ongoing research priority. There are still significant gaps in current knowledge of pediatric palliative care because education has not been integrated into curriculum and clinical experiences.

Objectives: The purpose of this integrative literature review aims to provide a comprehensive review of current research about the need of nursing education on palliative care for long-term care in pediatric oncology.

Methods: This integrative literature review focused ...


Euthanasia, Assisted-Suicide, And Palliative Sedation: A Brief Clarification And Reinforcement Of The Moral Logic, Peter A. DePergola II 2018 University of Massachusetts Medical School - Baystate; College of Our Lady of the Elms

Euthanasia, Assisted-Suicide, And Palliative Sedation: A Brief Clarification And Reinforcement Of The Moral Logic, Peter A. Depergola Ii

Online Journal of Health Ethics

A persistent misunderstanding of the moral distinctions between the practices of euthanasia, assisted suicide, and palliative sedation suggests a critical need to revisit the relationship each shares with licit medical practice in the context of palliative care. To that end, this essay grounds its arguments in two, straightforward premises: (i) the licitness of medical practice is largely determined by the balance between (a) good ends, (b) proportionate means, (c) appropriate circumstances, and (d) benevolent intentions; and (ii) whereas palliative sedation employs criteria A-D (above), both euthanasia and assisted suicide fail to secure criteria A-C. Drawing from this syllogism, the aim ...


Reconstruction Of Heel Soft Tissue Defects Using Sensate Medial Plantar Flap, Mihaela Pertea, Natalia Velenciuc, Oxana Grosu, Bogdan Veliceasa, Vladimir Poroch, Sorinel Lunca 2018 Grigore T. Popa University of Medicine and Pharmacy of Iasi, St. Spiridon Emergency County Hospital, Department of Plastic Surgery and Reconstructive Microsurgery, Iasi, Romania

Reconstruction Of Heel Soft Tissue Defects Using Sensate Medial Plantar Flap, Mihaela Pertea, Natalia Velenciuc, Oxana Grosu, Bogdan Veliceasa, Vladimir Poroch, Sorinel Lunca

Journal of Mind and Medical Sciences

Introduction. Reconstruction of heel soft tissue defects represents a true challenge for any surgeon due to the particularities of this anatomical region. The tissue used to reconstruct the heel area must be resistant, innervated, and adapted to take over the body weight. Innervated medial plantar fasciocutaneous flap is one of the best solutions to cover defects at the heel level.

Materials and Methods. We studied 5 patients, 4 males and one female, aged 42 to 67 years, who presented heel soft tissue defects of various etiologies. In all cases, the used reconstructive method was an insular innervated medial plantar fasciocutaneous ...


Integrating Art And Narrative To Enhance Quality Of Life In Palliative Care, Jennifer Fortuna 2018 Western Michigan University

Integrating Art And Narrative To Enhance Quality Of Life In Palliative Care, Jennifer Fortuna

The Open Journal of Occupational Therapy

Lacie Lee Wallace, a mixed-media artist from Wheeling, West Virginia, is featured on the cover of the Fall 2018 issue of The Open Journal of Occupational Therapy (OJOT). The photograph depicts Lacie holding a self-portrait painted by artist CeCey Rose. Lacie’s physical appearance in the photograph is strikingly different from the physical appearance of the woman featured in the painting. The portrait was created 4 years before Lacie was diagnosed with advanced stage colon cancer. In the year following the diagnosis, Lacie lost nearly 100 lbs. as a result of an aggressive treatment regimen. When the palliative care team ...


Pills, Needles, Support: Spiritual Care Can Improve Communication, And Compassion In The Healthcare Industry, Emily Schneider 2018 Western Washington University

Pills, Needles, Support: Spiritual Care Can Improve Communication, And Compassion In The Healthcare Industry, Emily Schneider

Palliative Care Institute

A comprehensive literature review that looks at what spiritual care is, why it is important to healthcare, and how it can be implemented in the health care industry.


A Provider-Based Survey On Quality Of Care And Identification Of Quality Gaps In Inpatient Palliative Care, Adam Pennarola, MD, MPH, Matthew Murphy, MD, Elizabeth Collins, MD, Beth Wagner, MSN, CRNP, ACHPN, John Liantonio, MD 2018 Thomas Jefferson University

A Provider-Based Survey On Quality Of Care And Identification Of Quality Gaps In Inpatient Palliative Care, Adam Pennarola, Md, Mph, Matthew Murphy, Md, Elizabeth Collins, Md, Beth Wagner, Msn, Crnp, Achpn, John Liantonio, Md

House Staff Quality Improvement and Patient Safety Posters

Background

Inpatient Palliative Care Teams (IPCTs) are often called upon to provide multidisciplinary care across hospital settings at Jefferson. However, there is currently no mechanism in place wherein providers consulting the IPCT can provide feedback to specialty palliative care clinicians. Such input from providers could be used to elucidate those services provided by the team which are most appreciated and those which require further development in order to be truly effective. Furthermore, such input may also serve to identify completely new areas for inpatient palliative care needs.


Implementation Of A Volunteer-Based Hospital Program For Older Adults, Elizabeth Collins, MD, Kristine Swartz, MD 2018 Thomas Jefferson University

Implementation Of A Volunteer-Based Hospital Program For Older Adults, Elizabeth Collins, Md, Kristine Swartz, Md

House Staff Quality Improvement and Patient Safety Posters

Background

  • A multi-faceted, volunteer-led, hospital-based program1has been shown to: •Reduce the incidence of delirium •Decrease hospital length of stay •Reduce hospital costs.
  • Implementation of such a program requires upfront investment.
  • A smaller, volunteer-based visitation program for older adults may provide support for the allocation of more hospital resources in delirium prevention and establishment of a formal Hospital Elder Life Program1in this institution.
  • This research aims to investigate: •If the implementation of a visitation program is feasible at this hospital •Volunteer experience with the program.


Having Healing Conversations, Lucille Marchand MD, BSN, FAAHPM 2018 University of Washington Medicine

Having Healing Conversations, Lucille Marchand Md, Bsn, Faahpm

Palliative Care Institute

How do we have conversations about pain that are in and of themselves healing? Often, clinicians dread having conversations about pain. This session will introduce a map of how to have healing conversations about this challenging topic. Empathy and responding to emotion are key in healing conversations.


Finding Peace In Every Moment: The Power Of Mindfulness In Relieving Pain And Anxiety, Erica Rayner-Horn L.M.H.C. 2018 Western Washington University

Finding Peace In Every Moment: The Power Of Mindfulness In Relieving Pain And Anxiety, Erica Rayner-Horn L.M.H.C.

Palliative Care Institute

We have a wealth of healing potential within us that often goes untapped as we seek outside relief from both physical pain and emotional distress. Research shows the extensive health benefits of practicing mindfulness: from boosting immunity and lowering blood pressure, to alleviating pain, reducing depression and calming anxiety. This session will explore mindfulness, how to practice it, and invite participants to practice mindfulness in simple exercises. We will discover how slowing down and living with deeper awareness of each moment helps transform reactivity and stress into moments of relaxation, ease, and peacefulness---even while facing serious illness.


Cancer At The Dinner Table: Experiences Of Psilocybin-Assisted Psychotherapy For The Treatment Of Cancer-Related Psychological Distress, Thomas Cody Swift 2018 Western Washington University

Cancer At The Dinner Table: Experiences Of Psilocybin-Assisted Psychotherapy For The Treatment Of Cancer-Related Psychological Distress, Thomas Cody Swift

Palliative Care Institute

Recent clinical trials have shown promising results in the use of psilocybin and MDMA-assisted psychotherapy to alleviate end-of-life anxiety in those life-threatening illnesses or experiencing end-of-life anxiety. This session will share some of those results.

Below are links to the qualitative paper shared at the conference, as well as two short videos of the clinical trial participants:

http://journals.sagepub.com/doi/abs/10.1177/0022167817715966

https://vimeo.com/122267529

https://vimeo.com/122278721


Non-Pharmacological Pain Strategies And Telehealth Delivery, Ardith Z. Doorenbos Phd, RN, FAAN 2018 University of Washington, School of Medicine

Non-Pharmacological Pain Strategies And Telehealth Delivery, Ardith Z. Doorenbos Phd, Rn, Faan

Palliative Care Institute

Telehealth is a rapidly growing field aimed at improving outcomes for people with chronic pain who may not be able to access specialty care. Dr. Doorenbos will explore the use of Telehealth and how to incorporate integrative therapies and innovative, cost-effective interventions that decrease chronic and palliative pain and can be widely used to improve quality of life.


Complex Palliative Care Pain Management Requires An Integrative Approach, Lucille Marchand MD, BSN, FAAHPM 2018 University of Washington Medicine

Complex Palliative Care Pain Management Requires An Integrative Approach, Lucille Marchand Md, Bsn, Faahpm

Palliative Care Institute

Pain is complex, and to address pain well, it requires us to appreciate the multiple factors that create pain in a person. The complexity of pain requires more than the conventional approaches usually used to treat pain. Integrative, healing modalities are needed to address pain comprehensively and effectively with a minimum of adverse effects.


Program - 2018 Palliative Care Institute Conference: Holistic Pain Management: Alternatives To The Opioids, Palliative Care Institute 2018 Western Washington University

Program - 2018 Palliative Care Institute Conference: Holistic Pain Management: Alternatives To The Opioids, Palliative Care Institute

Palliative Care Institute

No abstract provided.


The Opioids: Why Do We Need Alternatives, Marie Eaton 2018 Palliative Care Institute, Western Washington University

The Opioids: Why Do We Need Alternatives, Marie Eaton

Palliative Care Institute

Data on current landscape of pain management.


Welcome To The 2018 Palliative Care Institute Spring Conference, Marie Eaton 2018 Palliative Care Institute, Western Washington University

Welcome To The 2018 Palliative Care Institute Spring Conference, Marie Eaton

Palliative Care Institute

No abstract provided.


Laude, Jan (Fa 1140), Manuscripts & Folklife Archives 2018 Western Kentucky University

Laude, Jan (Fa 1140), Manuscripts & Folklife Archives

FA Finding Aids

Finding aid only for Folklife Archives Project 1140. Cassette recordings of the "Attunement for Healing" and "Exploring Your Dreams and ESP" conferences sponsored by the Edgar Cayce Association for Research and Enlightenment held in Virginia Beach, Virginia from 12 July 1981 to 24 July 1981. The recordings, collected by WKU folk studies graduate student Jan Laude, were used as source material for Laude’s Master’s thesis titled “A Contemporary Female Psychic: A Folkloristic Study of a Traditional Occupation,” which was published in 1982. Because the Department does not have consent forms or own copyright to these tapes, they may ...


Enhancing The Effectiveness Of Inpatient Palliative Care Consultation Teams (Pccts), Meghan McDarby 2018 Washington University in St. Louis

Enhancing The Effectiveness Of Inpatient Palliative Care Consultation Teams (Pccts), Meghan Mcdarby

Arts & Sciences Electronic Theses and Dissertations

Inpatient palliative care consultation teams (PCCTs) provide supportive care to individuals with chronic, life-limiting illness and their families. However, the clinical effectiveness of the PCCT may be affected by the quality of their collaboration with other providers. The purpose of this two-part study was to describe the efforts of inpatient PCCTs in order to (1) determine whether their expertise is maximized by other providers and (2) identify factors that may hinder or facilitate their successful collaboration with other providers. Descriptive analyses of retrospective chart review data (N = 120 charts) suggest that the majority of PCCT recommendations to other providers focus ...


The Effect Of Palliative Care Nursing Education To Improve Knowledge In Palliative Care Of Hospital-Based Nurses Caring For Patients With Chronic, Serious Illness, Madelyn Rose Balicas, DNP, MS, ANP-BC 2018 George Washington University

The Effect Of Palliative Care Nursing Education To Improve Knowledge In Palliative Care Of Hospital-Based Nurses Caring For Patients With Chronic, Serious Illness, Madelyn Rose Balicas, Dnp, Ms, Anp-Bc

Doctor of Nursing Practice Projects

Background: Palliative care nursing provides care for the relief of pain and suffering throughout the course of a patient’s chronic, serious illness. Hospital-based nurses need to be equipped with palliative care nursing knowledge to provide optimal care for patients and their families to improve the quality of life. Lack of education in pain and symptom management and communication about goals of care can result in a suboptimal and high cost of care.

Objectives: To determine if a brief palliative care nursing education can improve the knowledge of hospital-based nurses about palliative care nursing.

Methods: A cross-sectional quantitative pre-posttest design ...


Educating Oncology Nurse Practitioners To Provide Basic Palliative Care, Lynn Adams, DNP, MS, ANP-BC, AOCN 2018 George Washington University

Educating Oncology Nurse Practitioners To Provide Basic Palliative Care, Lynn Adams, Dnp, Ms, Anp-Bc, Aocn

Doctor of Nursing Practice Projects

Background: Approximately 1.66 million Americans are diagnosed with cancer each year and another 589,430 die from the disease. As treatment options have expanded, many cancer patients are living longer with worsening symptoms and disabilities and an increased illness burden. These patients are ideal candidates for palliative care. Palliative care involves care delivered by a team of clinicians with specialty training and a focus on improving the quality of life for patients with serious illnesses. A number of major organizations have made formal recommendations regarding the integration of palliative care into comprehensive cancer care including the American Society of ...


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