• Omega · Jan 2013

    Building a transdisciplinary approach to palliative care in an acute care setting.

    • Donnelle Daly and Stephen Chavez Matzel.
    • Clinical Resource Management, Palomar Health, USA. donnimarie@yahoo.com
    • Omega (Westport). 2013 Jan 1; 67 (1-2): 43-51.

    AbstractA transdisciplinary team is an essential component of palliative and end-of-life care. This article will demonstrate how to develop a transdisciplinary approach to palliative care, incorporating nursing, social work, spiritual care, and pharmacy in an acute care setting. Objectives included: identifying transdisciplinary roles contributing to care in the acute care setting; defining the palliative care model and mission; identifying patient/family and institutional needs; and developing palliative care tools. Methods included a needs assessment and the development of assessment tools, an education program, community resources, and a patient satisfaction survey. After 1 year of implementation, the transdisciplinary palliative care team consisted of seven palliative care physicians, two social workers, two chaplains, a pharmacist, and End-of-Life Nursing Consortium (ELNEC) trained nurses. Palomar Health now has a palliative care service with a consistent process for transdisciplinary communication and intervention for adult critical care patients with advanced, chronic illness.

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