Journal of pain and symptom management
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J Pain Symptom Manage · Jan 2019
Multicenter Study Comparative Study Observational StudyThe impact of Nursing Homes staff education on end-of-life care in residents with advanced dementia: a quality improvement study.
End-of-life care in nursing homes (NHs) needs improvement. We carried out a study in 29 NHs in the Lombardy Region (Italy). ⋯ The short educational intervention modified some practices relevant to the quality of end-of-life care of advanced dementia patients in NHs, possibly raising and reinforcing beliefs and attitudes already largely present.
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J Pain Symptom Manage · Jan 2019
Pre-Ventricular Assist Device Palliative Care Consultation: A Qualitative Analysis.
In 2013, the Centers for Medicare and Medicaid Services issued a mandate requiring that all patients undergoing destination therapy ventricular assist device (DT VAD) implantation have access to a palliative care team before surgery. Subsequently, many VAD programs implemented a mandatory preimplantation palliative care consultation for patients considering DT VAD. However, little is known about the quality of these consults. ⋯ One-time preimplantation palliative care consultations at our institution do not lead to completion of preparedness planning or even general palliative care assessment. Further work is needed to determine the most effective way to integrate palliative care into preimplantation care.
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J Pain Symptom Manage · Jan 2019
Pilot Qualitative Study of Informal Teachers in Interprofessional Collaboration and Practice.
Nonphysician members of the interprofessional palliative care team often participate in teaching physicians and others in the context of workplace learning due to the interprofessional collaborative nature of the specialty. ⋯ Nonphysician members of the interprofessional team interacted with physicians-in-training guided by their discipline-based skills and perspectives on patient care. They directed their informal teaching toward perceived educational gaps using reflection and debriefing. Future studies could explore the educational roles of health care professionals across diverse institutions and specialties.