M L Campbell1, R R Frank. 1. Comprehensive Supportive Care Team, Detroit Receiving Hospital, MI, USA.
Abstract
OBJECTIVE: To describe a 10-yr experience with an end-of-life practice in a hospital. DESIGN: A nonexperimental, prospective, descriptive design was used to record variables from a convenience sample of patients transferred to the Comprehensive Supportive Care Team. SETTING: Detroit Receiving Hospital is an urban, university-affiliated, Level I trauma/emergency hospital. PATIENTS: Patients who are not expected to survive hospitalization, and for whom a decision has been made to focus care on palliative interventions, are candidates for care by this practice. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Patient demographics, including the following information: age, gender; diagnoses; illness severity; mortality rate; and disposition. Measures of resource utilization included: referral sources; Therapeutic intervention Scoring System values; bed costs; and length of hospital stay. Satisfactory patient/family care with a measurable reeducation in the use of resources can be achieved in the hospital setting. CONCLUSIONS: A hands-on approach to the care of dying patients by this specialty, palliative care service has provided patients, families, and clinicians with the type of support needed for satisfactory end-of-life care. A summary of our experience may be useful to others.
OBJECTIVE: To describe a 10-yr experience with an end-of-life practice in a hospital. DESIGN: A nonexperimental, prospective, descriptive design was used to record variables from a convenience sample of patients transferred to the Comprehensive Supportive Care Team. SETTING: Detroit Receiving Hospital is an urban, university-affiliated, Level I trauma/emergency hospital. PATIENTS: Patients who are not expected to survive hospitalization, and for whom a decision has been made to focus care on palliative interventions, are candidates for care by this practice. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS:Patient demographics, including the following information: age, gender; diagnoses; illness severity; mortality rate; and disposition. Measures of resource utilization included: referral sources; Therapeutic intervention Scoring System values; bed costs; and length of hospital stay. Satisfactory patient/family care with a measurable reeducation in the use of resources can be achieved in the hospital setting. CONCLUSIONS: A hands-on approach to the care of dying patients by this specialty, palliative care service has provided patients, families, and clinicians with the type of support needed for satisfactory end-of-life care. A summary of our experience may be useful to others.
Entities:
Keywords:
Death and Euthanasia; Empirical Approach
Authors: Judith E Nelson; Rick Bassett; Renee D Boss; Karen J Brasel; Margaret L Campbell; Therese B Cortez; J Randall Curtis; Dana R Lustbader; Colleen Mulkerin; Kathleen A Puntillo; Daniel E Ray; David E Weissman Journal: Crit Care Med Date: 2010-09 Impact factor: 7.598