2016 Poster Sessions

Allowing Natural Death in the Emergency Department

STUDY OBJECTIVE: A 50% decrease in the mortality rate of Emergency Department (ED) patients nationwide was reported by Kanzaria in July, 2016. This is thought to be due, at least ...

A Primary Palliative Care Pathway for Hospital Medicine

Background Most Americans experience hospitalization in the last year of life. Unwanted medical interventions near the end of life, and their associated costs, have been a national concern for decades. ...

A Visual Guide of a Palliative Care Workflow in a Hospital Setting

Trinitas Regional Medical Center (TRMC) received the initial Joint Commission Certification in Advanced Palliative Care in 2013 and redesignation in 2015. The initial Joint Commission Certification application process provided us ...

Barriers to End of Life Communication: How Can We Address Them?

Introduction: A substantial number of patients admitted to the hospital are suffering from a terminal illness. In the teaching hospitals, care is usually coordinated by residents. We often see confusion ...

Characterizing Quality in Inpatient Palliative Care

Background: Over two-thirds of hospitals in the United States have palliative care programs, including 90% of hospitals with 300 or more beds. However, there is little data assessing the characteristics ...

Does Changing the Name, Influence Patients’ Code Status choice? Changing DNR (Do Not Resuscitate) to AND (Allow Natural Death)

Context: Per the Patient Self Determination Act of 1990, upon admission to the hospital, patients are provided written notice of their decision-making rights, and policies regarding advance health care directives. ...

Effect of a Residential Dog on Quality of Life and Loneliness in Veterans living at the North Florida/South Georgia VAMC, Community Living Center Lake City Division

As our Veteran population ages many will come to live on our Hospice neighborhood. Several studies demonstrate that animals enhance and enrich quality of life. Little research has been done ...

Palliating the Palate: Making Oral Care a Vital Sign

Oral pharyngeal candidiasis is a leading cause of death in patients with advanced cancer. Risks to oral care in patients with advanced disease are great, and include but are not ...

Quality Palliative Care: Are We Delivering Our Very Best?

The National Consensus Project for Quality Palliative Care published the third edition of “Clinical Practice Guidelines for Quality Palliative Care” in 2013. The guidelines contain eight domains which identify core ...

Scoring Suffering to Address Patient Needs

Introduction: Palliative care patients have been scored by their symptom burden and performance, but there is little standardization of their multidimensional suffering, needs, and wants. Maslow’s Hierarchy of Needs is ...

Study of ICU Patients Transferred to a Palliative Care Unit

Introduction: North Shore University Hospital (NSUH) has a 10-bed Palliative Care Unit (PCU) that admits over 500 patients annually for symptom management. 25% of these patients come from an Intensive ...

Surveying an Advanced Ill Population

Background: Measuring patient satisfaction is increasingly a healthcare priority. HCAHPS scores are the most frequently used tool to measure patient satisfaction regarding their hospital stay. Unfortunately, these national surveys do ...

Venting Concerns: A Terminal Extubation Guideline

The goal of withdrawing life-sustaining treatments is to discontinue therapies that are no longer desired or no longer providing comfort to patients. If not appropriately treated, patients who die after ...

Virtual Palliative Clinic for LVAD Patients at Home

Background: Given the severity of illness with Left-Ventricular Assist Device (LVAD) implantation, it is clear that LVAD patients seen by the PC team while hospitalized could benefit from more frequent ...

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