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    Palliative Care Screening Tool Implementation in a Medical Intensive Care Unit

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    Author
    Keadle, Emily C.
    Advisor
    Hood, Catherine
    Date
    2022-05
    Type
    DNP Project
    
    Metadata
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    Other Titles
    Palliative Care Screening Tool Implementation
    Abstract
    Problem: Palliative care is underutilized and not prioritized in a large metropolitan teaching hospital medical intensive care unit. On average, it takes 6.7 days for a patient to receive a palliative care consultation but can take as long as 49 days. Only 15.74% of patients admitted to the medical intensive care unit will receive a palliative care consult. There is not a consistent method by which palliative care recommendations are made or how patients in need of palliative care services are identified in this medical intensive care unit which contributes to a delay in, or lack of, palliative care. Purpose: The purpose of this quality improvement project is to implement and evaluate the effectiveness of a palliative care screening tool in a medical intensive care unit. Methods: A validated palliative care screening tool was added to the admission documentation in a 19-bed medical intensive care unit to be completed by the nursing staff on each admission. When completed, a total score of 4 or greater creates a task for the nurse via the electronic health record to notify the provider of unmet palliative care needs. Results: Nurses utilized the screening tool 74% of the time. The number of palliative care consults increased from 15.74% to 23.75%. Time from admission to palliative care consult decreased from 6.68 days to 6.25 days. Conclusions: The implementation of a palliative care screening tool was associated with decreased time to palliative care consult and an increase in number of palliative care consults in a medical intensive care unit.
    Keyword
    screening tool
    Palliative Care
    Intensive Care Units
    Mass Screening--methods
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/18752
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    Doctor of Nursing Practice (DNP) Projects

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