Development and Protocol for a Nurse-led Telephonic Palliative Care Program

Overview

Journal Nurs Outlook

Specialty Nursing

Date 2021 Jan 24

PMID 33485590

Citations 3

Authors

Audrey J Tan

Rebecca Yamarik

Abraham A Brody

Frank R Chung

Corita Grudzen

Affiliations

Soon will be listed here.

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.

Citing Articles

Telepalliative Care in Home-Based Nursing Care for Older Adults With Metastatic Cancer Post COVID-19: An Ethnoscientific Study.

Sathiyamas J, Mingmalairak C, Rungroungdouyboon B, Sri-Ngernyuang C SAGE Open Nurs. 2024; 10:23779608241279908.

PMID: 39314647 PMC: 11418230. DOI: 10.1177/23779608241279908.

Engagement, Advance Care Planning, and Hospice Use in a Telephonic Nurse-Led Palliative Care Program for Persons Living with Advanced Cancer.

Yamarik R, Chiu L, Flannery M, Van Allen K, Adeyemi O, Cuthel A Cancers (Basel). 2023; 15(8).

PMID: 37190238 PMC: 10136814. DOI: 10.3390/cancers15082310.

Between a Rock and a Hard Place: The Challenges of Caregiving During a Pandemic for Parkinson's Family Care Partners.

Seshadri S, Norton S, Stahl T, Shah M, Dini M, Yarab N Am J Hosp Palliat Care. 2022; 40(7):784-792.

PMID: 35943434 PMC: 11753398. DOI: 10.1177/10499091221119462.

Implementation of advance care planning amid the COVID-19 crisis: A narrative review and synthesis.

Hirakawa Y, Saif-Ur-Rahman K, Aita K, Nishikawa M, Arai H, Miura H Geriatr Gerontol Int. 2021; 21(9):779-787.

PMID: 34318579 PMC: 8444945. DOI: 10.1111/ggi.14237.

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