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Prior to implementing Pal Care, all patient notes were paper-based.This system was laborious and time consuming, which limited the number of patients that staff could see in a day.Nurses on call would have to take a bulky folder home, that contained only an extract of information from each patient’s file.
Palliative care is a skill set that requires some attention, notes Diane E.
Holland, Ph D, RN, clinical nurse researcher in the Department of Nursing and an associate professor in nursing at the Mayo Clinic College of Medicine.
Palliative care’s recent growth has been partly fueled by the Affordable Care Act’s (ACA’s) focus on improving healthcare quality.
“It’s a very important topic,” says Walter Rosenberg, MSW, LCSW, manager of transitional care, health and aging at Rush University Medical Center in Chicago.
The on-call service has seen major improvements for staff and for patients.
Instead of taking two suitcases of paper histories home when on call, the nurse now needs to only take a laptop.
Increasing the number of people from a Black, Asian and Minority Ethnic (BAME) background accessing palliative care services – Marie Curie Hospice, Cardiff and the Vale The Conversation Project – Empowering Royal United Hospitals Bath NHS Foundation Trust staff to feel more comfortable having conversations about the wishes of patients approaching the end of their life Building on Board support, education and training and CQUINs to sustain end of life care improvement – Worcestershire Acute Hospitals NHS Trust University Hospital Southampton NHS Foundation Trust: A whole system approach to improving acute End of Life Care Leeds Teaching Hospital Foundation Trust – A systematic approach to delivering person-centred end of life care improvement across a large trust Derby Hospital Foundation Trust – A measurable impact for patients whose recovery is uncertain Bradford Teaching Hospital Foundation Trust – Getting more people approaching their last year of life home from hospital sooner, if that’s their choice Developing communication skills training at Birmingham City University – Teaching large cohorts of nursing students to respond to the communication needs of patients and carers in a realistic way can be challenging.
Small group activities using trained actors to simulate patients and their carers is one way forward.
Goulburn Valley Hospice Care is a community palliative care service that covers a 2500 square kilometre area in Victoria, a large portion of which is rural.
Since introducing Pal Care, they have found that updating patient information whilst on the road has meant that, should a patient then phone the office, up to date information is immediately available to hospice staff taking the call.