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Medline ® Abstract for Reference 23

of 'Palliative care: Issues in the intensive care unit in adults'

23
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A model for increasing palliative care in the intensive care unit: enhancing interprofessional consultation rates and communication.
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Villarreal D, Restrepo MI, Healy J, Howard B, Tidwell J, Ross J, Hartronft S, Jawad M, Sanchez-Reilly S, Reed K, Espinoza SE
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J Pain Symptom Manage. 2011;42(5):676.
 
BACKGROUND: Only a minority of patients who die in the medical intensive care unit (MICU) receive palliative care services. At the South Texas Veterans Health Care System Audie L. Murphy Hospital, only 5% of patients who died in the MICU from May to August 2010 received a palliative care consultation.
MEASURES: We measured the percentage of MICU patients for which there was a palliative care consultation during the intervention period.
INTERVENTION: Starting October 1, 2010 and ending April 30, 2011, the palliative care and MICU teams participated in daily "pre-rounds" to identify patients at risk for poor outcomes, who may benefit from a palliative care consultation.
OUTCOMES: Palliative care consultation increased significantly from 5% to 59% for patients who died in the MICU during the intervention period. Additionally, palliative care consultation increased from 5% to 21% for all patients admitted to the MICU during the intervention period.
CONCLUSIONS/LESSONS LEARNED: Daily pre-rounds between the palliative care and MICU teams increased palliative care services for MICU patients at risk for poor outcomes, who may benefit from a palliative care consultation.
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Division of Geriatrics, Gerontology and Palliative Medicine, The University of Texas Health Science Center, San Antonio, Texas 78229, USA. villarreald4@uthscsa.edu
PMID