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Article
Patient outcomes and satisfaction with care following palliative care consultation
Journal of Hospice and Palliative Nursing (2013)
  • Ruth Remington
  • S. M. Parker
  • A. Nannini
  • M. Cifuentes
Abstract
Palliative care incorporating pain management, transitional care planning, and coordination of care as patients move between sites or levels of care can improve patient outcomes and patient satisfaction. This descriptive study explored patient outcomes and satisfaction with palliative care consultations provided by nurse practitioners to patients 60 years or older seen in acute care, skilled nursing facilities, assisted-living facilities, or their own homes. A modified FAMCARE Scale survey measured satisfaction, and a chart audit of 100 initial consults identified documented site of care, diagnosis, pain assessment, recommendations for pain management, advanced care planning, and transitional care planning. Sixty-five percent of the patients reported pain, with most having a diagnosis of cancer, but 57% of these patients had negative intervening events that interfered with pain management. Transitional care was provided for 75% of the patients. Outcomes of the survey included a high rate of satisfaction with care and comfort achievement. This quality improvement study provides an example of palliative care provided by nurse practitioners for a fragile population of older adults as they move between sites or levels of care. Further research should be done studying similar populations upstream and over extended periods.
Keywords
  • palliative care
Disciplines
Publication Date
2013
DOI
10.1097/NJH.0b013e318279f4ce
Citation Information
Ruth Remington, S. M. Parker, A. Nannini and M. Cifuentes. "Patient outcomes and satisfaction with care following palliative care consultation" Journal of Hospice and Palliative Nursing Vol. 15 Iss. 4 (2013) p. 225 - 232
Available at: http://works.bepress.com/ruth_remington/34/
Creative Commons license
Creative Commons License
This work is licensed under a Creative Commons CC_BY-NC-ND International License.