Palliative Care Commons^™

The Role Of Occupational Therapy In Primary Care, Priti Patel

Occupational Therapy Doctorate Capstone Projects

The Capstone Project is focused on communicating, influencing and educating other health care professionals regarding the role of occupational therapy in the future model of primary care delivery initiated by the adoption of the Affordable Care Act and the Triple Aim Initiative. Currently, primary care, the largest health care platform in United States, is not inclusive of occupational therapy services. Occupational therapists have the scope, knowledge and understanding to be part of the redesigned team model of primary care. Educating those currently working in primary care about adding occupational therapy services can have a significant impact on the profession of …

A Narrative Inquiry: Case Leaders' Perspectives On Resilience In Hospice Care, Gail Renee Ahern

Antioch University Full-Text Dissertations & Theses

This study is a qualitative inquiry examining the perspective of team leaders within hospice organizations on resilience. The goal of this study was to examine how hospice leaders build resilience for themselves and within the interdisciplinary teams they lead. A framework of three key theories of leadership—servant, spiritual and authentic—was used to help in understanding the similarities and differences of the interviewed leaders and their key themes and practices. The eight leaders interviewed were from a range of hospices in diverse settings and all were directly responsible for leading interdisciplinary teams. In-depth phenomenological interviewing was undertaken until the study reached …

The Efficacy Of Music As A Non-Analgesic Method Of Reducing Pain Perception During Cold Pressor Trials, Amanda Lynn Ziemba

Masters Theses

The purpose of this project was to investigate the impact of differentiated onset of self-selected music on pain perception and pain tolerance during a cold pressor test. Subjects participated in four trials during which music was presented at different points of time in relation to their exposure to the cold pressor test. Results indicated that listening to music prior to and concurrently with the onset of the pain resulted in lower self-reported pain (F(3, 66) :3.25, p < .05). Behavioral results indicated that subjects were able to tolerate an average of 25s longer (F(2.04,44.81): I.56,p > .05.) when music was presented after the onset of painful stimuli. Both results have positive implications for the clinical use of music as …

White Paper: Building A Continuum Of End Of Life Care In Whatcom County: Train All Clinicians In Palliative Care, Casey Shillam

Northwest Life Passages Coalition Documents

Despite the increase in focus and attention on palliative care services in Whatcom County, significant gaps in palliative care knowledge and skills exist among clinicians throughout the care continuum in Whatcom County. It is widely recognized that palliative care improves quality of life for patients with advanced illness and their families, reduces costs, and advances the Triple Aim.

The recommendations provided in this report support the collective recognition that all clinicians caring for patients with serious illness, irrespective of practice discipline, background, or setting, require competency and skill in palliative care. All clinicians (including but not limited to doctors, nurses, …

White Paper: Building A Continuum Of End Of Life Care In Whatcom County: Invest In Community-Based Palliative Care, Bree Johnston

Northwest Life Passages Coalition Documents

Whatcom County has established significant specialty palliative care services, including a strong Hospice Program, an Inpatient Palliative Care Consultation Service, and a low volume outpatient palliative care clinic for patients with advanced cancer based in the PeaceHealth Comprehensive Cancer Center. Family Care Network has also started a low volume nurse practitioner based home care program for vulnerable patients. However, the vast majority of palliative care is provided by generalist providers outside of formal palliative care or hospice programs.

Substantial gaps in specialty palliative care services exist throughout the care continuum in Whatcom County. Specialty and primary care providers cite the …

White Paper: Building A Continuum Of End Of Life Care In Whatcom County: Inspire Culture Change, Marie Eaton

Northwest Life Passages Coalition Documents

This Task Force was charged with identifying best practices related to cultural change regarding end of life issues. However, we believe that there is no single best practice at the community level. Our community and cultural responses related to living with serious illness and facing our own mortality or experiencing the death of loved ones continue to evolve. Our generation is the first that that has cared for parents or other loved ones in a health care system that has the potential for keeping people alive too long – and these experiences are changing our feelings about what choices we …

Palliative Care's Sacramental And Liturgical Foundations: Healthcare Formed By Faith, Hope, And Love, Darren M. Henson

Dissertations (1934 -)

Medical history identifies Dame Cicely Saunders as the founder of modern hospice and palliative care for the unique care she gave to the incurably and terminally ill. Less known is how her Christian faith, combined with her knowledge of medicine, influenced her vision. This work retrieves the Christian roots of palliative care and asserts that the practice of faith preserves the practice of medicine from succumbing to medicalized dying--a phenomenon that excessively relies on technology with the implied hope that it will ultimately conquer illnesses and even death. Efficiency and effectiveness ground modern medicine's epistemology. These concepts follow the philosophical …

Palliative Medicine Competency Education In Emergency Medicine Residency Training: A Preliminary Report, Chadd K. Kraus Do, Mph, Matthew Meyers Bs, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep

Bryan G Kane MD

No abstract provided.

Palliative Medicine Competency Education In Emergency Medicine Residency Training: A Preliminary Report, Chadd K. Kraus Do, Mph, Matthew Meyers Bs, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep

Marna R Greenberg DO, MPH, FACEP

No abstract provided.

White Paper: Building A Continuum Of End Of Life Care In Whatcom County: An Assessment Of The Financial Landscape, Liz Jones

Northwest Life Passages Coalition Documents

The goal of the End of Life Financial Issues and Sustainability Task Force was to design a care payment strategy which would support the phased build out of the full continuum of services needed to provide appropriate services and choice for End of Life in Whatcom County.

In order to further develop and appropriately finance a full continuum of End of Life services, the following six principles should serve as a guide: services should be targeted both to those who are dying as well as those with a progressive, debilitating disease; dollars should follow patient needs, not program needs; financial …

Investigating Barriers To Access And Delivery Of Palliative Care For Persons With Dementia In London, Ontario, Emily M. Hill

Electronic Thesis and Dissertation Repository

Dementia is a syndrome that is progressive, degenerative and terminal. The palliative care philosophy aims to maximize quality of life for the dying individual and has been recognized in the literature as being both beneficial and under-used in persons dying with dementia. The purpose of this study was to investigate the experiences of staff delivering palliative care to individuals with dementia to determine how care was delivered, to learn which assessment tools were used, and whether policies were affected the delivery of palliative care. Twenty-two staff participants were interviewed. Data were interpreted using phenomenological methodology. Findings yielded three themes: confusion, …

White Paper: Building A Continuum Of End Of Life Care In Whatcom County: Expand Advance Care Planning Efforts, Mary Ann Percy

Northwest Life Passages Coalition Documents

Advance care planning is the process of discussing and recording patient preferences concerning goals of care for patients who may lose capacity or communication ability in the future. In 2012, after consideration of several options, WAHA adopted the Respecting Choices® model of Advance Care planning, and began the WAHA End of Life Choices Initiative (EOLC). Key strengths of the current EOLC practice include community engagement, quality resource materials, trained and certified facilitators, increased community and clinical awareness of advance care planning and of our program. Key gaps in current EOLC practice include lack of integration with clinical community and other …

Infectious Diseases, Bert Chapman

Libraries Faculty and Staff Scholarship and Research

Provides information about the role of infectious diseases in the early years of U.S. History, with particular emphasis on how they impacted injuries sustained in military conflict.

Program - Palliative Care Summer Institute: A Call To Action, Palliative Care Institute

Palliative Care Institute

No abstract provided.

Improving The Spiritual Dimension Of Whole Person Care: Reaching National And International Consensus, Christina M. Puchalski, Robert Vitillo, Sharon K. Hull, Nancy Reller

Medicine Faculty Publications

Two conferences, Creating More Compassionate Systems of Care (November 2012) and On Improving the Spiritual Dimension of Whole Person Care: The Transformational Role of Compassion, Love and Forgiveness in Health Care (January 2013), were convened with the goals of reaching consensus on approaches to the integration of spirituality into health care structures at all levels and development of strategies to create more compassionate systems of care. The conferences built on the work of a 2009 consensus conference, Improving the Quality of Spiritual Care as a Dimension of Palliative Care. Conference organizers in 2012 and 2013 aimed to identify consensus-derived care …

Influence Of A Palliative Care Protocol On Nurses' Perceived Barriers To Palliative Care And Moral Distress, Christina Cavinder

Evidence-Based Practice Project Reports

The World Health Organization (2013) states palliative care for children should begin at diagnosis which may even occur prenatally. Neonatal palliative care is variable due to the high technological, curative environment in the newborn intensive care unit, and the uncertain prognoses of infants born at the edge of viability. The purpose of this EBP project was to determine the influence of establishing a neonatal palliative care protocol on nurses’ perceived barriers to palliative care and moral distress. Corley’s Moral Distress theory and Stetler’s Model were used as guides for the framework of the project. The protocol, based on guidelines supported …

Palliative Medicine Competency Education In Emergency Medicine Residency Training: A Preliminary Report, Chadd K. Kraus Do, Mph, Matthew Meyers Bs, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.

Understanding The Impact Of Values On Organizational Culture, Paul D. Longenecker

Health and Sport Sciences Faculty Scholarship

No abstract provided.

Prevalence And Risk Factors Of Depressive Symptoms In A Canadian Palliative Home Care Population: A Cross Sectional Study, Kathryn A. Fisher, Hsien Seow, Kevin Brazil, Shannon Freeman, Trevor Frise Smith, Dawn M. Guthrie

Kinesiology and Physical Education Faculty Publications

Background: Depression in palliative care patients is important because of its intrinsic burden and association with elevated physical symptoms, reduced immunity and increased mortality risk. Identifying risk factors associated with depression can enable clinicians to more readily diagnose it, which is important since depression is treatable. The purpose of this cross-sectional study was to determine the prevalence of depressive symptoms and risk factors associated with them in a large sample of palliative home care patients.

Methods: The data come from interRAI Palliative Care assessments completed between 2006 and 2012. The sample (n = 5144) consists of adults residing …

Spirituality And Health, Arndt Bussing, Klaus Baumann, Niels Christian Hvidt, Harold G. Koenig, Christina M. Puchalski, John Swinton

Medicine Faculty Publications

No abstract provided.