Development and protocol for a nurse-led telephonic palliative care program.

Abstract:

BACKGROUND:The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models. PURPOSE:We present the structure of a nurse-led telephonic palliative program and operational metrics to influence further development of tele-palliative programs. METHODS:The nurses engage with seriously ill patients for 6 months with the goal of discussing advance care planning (ACP) and addressing self-identified issues related to their illness. FINDINGS:Of the first 100 program graduates, 78% were actively engaged and 51% named a health care agent and/or engaged in ACP. Of the 18 patients who died during the study, 13 (72%) were enrolled in hospice services. DISCUSSION:Our preliminary results indicate that seriously ill patients are willing to engage with nurses and to participate with discussions on ACP. CONCLUSION:Given the gaps in health care exposed by the COVID-19 pandemic, this innovative program serves as an important model for bringing palliative care directly to patients.

journal_name

Nurs Outlook

journal_title

Nursing outlook

authors

Tan AJ,Yamarik R,Brody AA,Chung FR,Grudzen C,EMPallA Telephonic Working Group.

doi

10.1016/j.outlook.2020.12.011

subject

Has Abstract

pub_date

2021-01-20 00:00:00

eissn

0029-6554

issn

1528-3968

pii

S0029-6554(20)30718-1

pub_type

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