التفاصيل البيبلوغرافية
| العنوان: |
Triggered Inpatient Palliative Care Consultation (TIPCC) for Patients with Gynecologic Malignancy (SA314C). |
| المؤلفون: |
Tondo-Steele, Katelyn1 (AUTHOR), Chen, Cynthia S.1 (AUTHOR), Denny, Rachel1 (AUTHOR), Marsh, Laura1 (AUTHOR), Uppal, Shitanshu2 (AUTHOR), Taylor, Laura1 (AUTHOR) |
| المصدر: |
Journal of Pain & Symptom Management. Mar2023, Vol. 65 Issue 3, pe305-e305. 1p. |
| مصطلحات موضوعية: |
*PALLIATIVE treatment, *INPATIENT care, *CANCER patient care, *HOSPICE nurses, *TERMINAL care, *MEDICAL care, *BOWEL obstructions |
| مستخلص: |
1. Demonstrate the feasibility of a pilot program of clinical criteria-triggered inpatient palliative care consultation for patients admitted to a gynecology oncology (GYO) inpatient service 2. Evaluate the results of triggered inpatient palliative care consultation for patients admitted to a GYO inpatient service Literature suggests that 40%–60% of gynecology oncology (GYO) patients undergo at least one type of aggressive medical care at the end of life (EOL), a practice associated with decreased quality of life without improvements in survival or symptom palliation. Despite recommendation for early palliative care involvement from ASCO, only 18% of patients with gynecologic malignancy receive palliative care consultation greater than 30 days before death. In patients admitted to a GYO inpatient service, a triggered inpatient palliative care consultation (TIPCC) checklist was implemented to increase palliative care consultation for patients with advanced gynecologic malignancy (Stage 3 or greater, recurrent, and/or metastatic disease). We developed a TIPCC checklist through literature review and expert consensus. Members of the GYO team placed the inpatient consult on admission after review of inclusion criteria for consult, and the palliative care consultation service provided usual care. The primary study outcome was the proportion of inpatient admissions to GYO who received a palliative care consultation pre- and post-intervention. In the first 6 months of the pilot, there were 75 admissions, with 36 palliative care consultations (48% of admissions), compared to 21% of admissions in the 6 months prior to the pilot (12/57) (p=0.0014). 14/14 (100%) of patients with bowel obstruction had a palliative care consult, versus 3/9 (33%) of patients in the 6 months prior to the pilot. All patients who died during the project had received palliative care consultation, compared to 40% of patients who died in the 6 months prior to the pilot. A TIPCC checklist results in greater utilization of palliative care consultation services for patients with advanced gynecologic malignancy. Future directions include evaluating the impact of this project on clinician perceptions of palliative care, timely hospice enrollment, patient-reported symptom control, and EOL quality indicators. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Academic Search Index |
