Integration of Palliative Care Advanced Practice Nurses Into Intensive Care Unit Teams.
Am J Hosp Palliat Care
; 34(4): 330-334, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-26917789
ABSTRACT
BACKGROUND:
Referrals to palliative care for patients at the end of life in the intensive care unit (ICU) often happen late in the ICU stay, if at all. The integration of a palliative medicine advanced practice nurse (APN) is one potential strategy for proactively identifying patients who could benefit from this service.OBJECTIVE:
To evaluate the association between the integration of palliative medicine APNs into the routine operations of ICUs and hospital costs at 2 different institutions, Montefiore Medical Center (MMC) and Rush University Medical Center.METHODS:
The association between collaborative palliative care consultation service programs and hospital costs per patient was evaluated for the 2 institutions. Hospital costs were compared for patients with and without a referral to palliative care using Mann-Whitney U tests.RESULTS:
Hospital nonroom and board costs at the Weiler campus of MMC were significantly lower for patients with palliative care compared with those who did not receive palliative care (Median = US$6643 vs US$12 399, P < .001). Cost differences for ICU patients with and without palliative care at Rush University Medical Center were not significantly different.CONCLUSION:
Our evaluation suggests that the integration of APNs into a palliative care team for case finding may be a promising strategy, but more work is needed to determine whether reductions in cost are significant.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
/
Equipe de Assistência ao Paciente
/
Custos Hospitalares
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Prática Avançada de Enfermagem
/
Unidades de Terapia Intensiva
Tipo de estudo:
Prognostic_studies
Limite:
Aged
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Am J Hosp Palliat Care
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos