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An Educational Initiative To Prevent Unnecessary Hospitalization For Hospice Patients, Alkeisha H. Mims

Dissertations

Avoidable hospitalizations of hospice patients cost Medicare $3 billion a year. When hospice nurses are able to identify early signs and symptoms of acute illness and provide appropriate interventions to prevent such admissions, 20-60% of the hospitalizations are preventable. The practice problem addressed in this quality improvement doctor of nursing project was the 30% hospital admission rate of hospice patients as evidenced by chart review, admission data, and revocation data. The first purpose of the project was to identify evidence-based nursing care paths in the literature for the top 5 medical diagnoses related to avoidable hospital admissions. The second purpose …

Providing Hospice Care For Children: An Organizational Study, Lisa C. Lindley

Dissertations

Background. Of the 54,000 children, who die in the US, many lack access to hospice care. As terminally ill children increasingly return home to die, little is known about the hospices that provide care for children and what factors may influence whether care is provided. Objective. To understand the institutional and resource factors that may influence the provision of hospice care for children, while controlling for organizational and market factors. Methods. This study used a retrospective, longitudinal design.

A Palliative Approach To Care In The Last 12 Months Of Life, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This best practice guideline (BPG) provides evidence-based recommendations to nurses and the interprofessional health team who support adults experiencing the last 12 months of a progressive life-limiting illness, and their families and caregivers. The goals of the recommendations are to:

• improve delivery of psychosocial, spiritual and culturally safe care
• enhance co-ordination of care
• facilitate supportive work environments

The BPG applies to all practice settings in which people require palliative care and end-of-life care services (for example, acute care, community care, long-term care). Specifically, this BPG will focus on persons experiencing the last 12 months of progressive life-limiting illness and their …

Elnec Core Module 1: Palliative Nursing Care, Betty Rolling Ferrell, Pamela Malloy, Polly M. Mazanec, Judith Ann Paice, Patrick Coyne

General Submissions: Presentations (Oral and Poster)

Describe the role of the nurse in providing quality palliative care for patients across the lifespan. Identify the need for collaborating with interdisciplinary team members while implementing the nursing role in palliative care. Recognize changes in population demographics, healthcare economics, and service delivery that necessitate improved professional preparation for palliative care. Describe the philosophy and principles of hospice and palliative care that can be integrated across settings to affect quality care at the end of life. Discuss aspects of assembling physiological, psychological, spiritual, and social domains of quality of life for patients and families facing a life‐threatening illness or event.

Elnec Pediatric 2018: Module 1, Betty Rolling Ferrell, Pamela Malloy, Polly M. Mazanec, Judith Ann Paice, Patrick Coyne, Amy Haskamp

General Submissions: Presentations (Oral and Poster)

Principles of Hospice & Palliative Care for Children

Child and family as unit of care with attention to caregiver support

Adolescents and young adults have distinctive needs

Attention to physical, psychological, social, and spiritual needs

Fatigue-Related Symptom Clusters And Their Relationship With Depression, And Functional Status In Older Adults Hospice Patients With Cancer., Suzan Fouad Abduljawad

USF Tampa Graduate Theses and Dissertations

The hospice care population with cancer are often older adults who report many cancer-related symptoms experienced often in clusters. Most prevalent of these symptoms is fatigue and often it co-occurs with depressive symptoms and poor physical functioning. This dissertation examined fatigue, symptom clusters, depression, physical activity, and functional status in older adults with cancer. The aims of the literature review were to understand the relationship among physical functioning, cancer fatigue, fatigue-related symptom clusters, and their relationship with functional status In older adults. The literature related to these associations is insufficient and inconclusive. The methods section aimed to investigate the reliability …

Education/Training In End-Of-Life Care For Certified Nursing Assistants In Long-Term Care, Mansura Malik

Nursing Education Research Conference (NERC)

Education and training in end of life care was provided to CNAs working in a long term care setting. Assessment of pretests and posttests showed significant improvement in knowledge by CNAs attending all sessions of the educational intervention.

[Excerpt From] Hospice & Palliative Care Handbook (3rd Ed.), Tina M. Marrelli

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Hospice & Palliative Care Handbook(3rd ed.), provided free of charge by the publisher.

About this book: Hospice & Palliative Care Handbook (3rd ed.), offers concise, focused coverage of all aspects of hospice and palliative care for clinicians, managers, and other team members who provide important care while meeting difficult multilevel regulations. Author Tina M. Marrelli, Director of the first U.S. hospice program to attain Joint Commission accreditation for hospice services, helps caregivers meet quality, coverage, and reimbursement requirements in daily practice and documentation. Filled with key topics such as professional standards …

The Legal Status Of Deep And Continuous Palliative Sedation Without Artificial Nutrition And Hydration, Jocelyn Downie, Richard Liu

Articles, Book Chapters, & Popular Press

Deep and continuous palliative sedation combined with the withholding or withdrawal of artificial nutrition and hydration (collectively termed “PSs̄ANH”) is an important aspect of high-quality end-of-life care. It is one means of alleviating suffering. Unfortunately, the legality of this practice has been under-researched and PSs̄ANH is not yet appropriately regulated in Canada. In this paper, we explore the legal status of PSs̄ANH where it (1) will not hasten death (Type 1 PSs̄ANH); (2) might, but is not certain to, hasten death (Type 2 PSs̄ANH); or (3) is certain to hasten death (Type 3 PSs̄ANH). It is clear that Type 1 …

An Ethical Argument For A Specific Model Of Palliative Care In Nigeria, Dozie Egbe

Electronic Theses and Dissertations

The need for palliative care in Nigeria is huge. But Nigeria has minimal palliative care activity that does not correspond to the great palliative care needs in the country. The great needs are heightened by poverty and poverty induced conditions. However, Nigeria has untapped sociocultural values that can boast palliative care in the country. Such values can be activated and constructively integrated in the practice of palliative care in Nigeria.

This project looks back to what palliative care has been in history and in developed nations to argue for a constructive and positive manner palliative care can evolve in Nigeria …

A Systematic Review - The Effect Of Hospice And Palliative Care, Justin M. Brown, David J. Havener, Jeffrey T. Byrne

Williams Honors College, Honors Research Projects

Many older adults nearing death experience unnecessarily invasive and costly healthcare treatments, often causing more harm than good. Hospice and palliative care interventions offer a possible solution to this problem by prioritizing high-quality and cost-effective care with a strong focus on comfort and satisfaction. The authors of this paper seek to answer the following question: Do hospice and palliative care interventions directed toward older adults at the end of life improve quality of life, cost of care, and satisfaction? This paper thoroughly reviews and critically appraises existing research related to the effect of hospice and palliative care directed toward older …