Implementing Outcome Measures Within an Enhanced Palliative Care Day Care Model.

Hdl Handle:
http://hdl.handle.net/10147/560355
Title:
Implementing Outcome Measures Within an Enhanced Palliative Care Day Care Model.
Authors:
Kilonzo, Isae; Lucey, Michael; Twomey, Feargal
Citation:
Implementing Outcome Measures Within an Enhanced Palliative Care Day Care Model. 2015: J Pain Symptom Manage
Journal:
Journal of pain and symptom management
Issue Date:
23-Apr-2015
URI:
http://hdl.handle.net/10147/560355
DOI:
10.1016/j.jpainsymman.2015.04.006
PubMed ID:
25912276
Abstract:
Specialist palliative care day care (SPDC) units provide an array of services to patients and their families and can increase continuity of care between inpatient and homecare settings. A multidisciplinary teamwork approach is emphasized, and different models of day care exist. Depending on the emphasis of care, the models can be social, medical, therapeutic, or mixed. We describe our experience of introducing an enhanced therapeutic specialist day care model and using both patient- and carer-rated tools to monitor patient outcomes.; Validated tools used to monitor patients' progress were the Edmonton Symptom Assessment System, the Edmonton Functional Assessment Tool, Part A of the McGill Quality of Life (QoL) Index, and the Palliative Care Problem Severity Scale.; Participating patients received multidisciplinary teamwork input over eight-week cycles of care and completed the validated tools.; A total of 70.6% of patients showed an improvement in their Edmonton Symptom Assessment System Symptom Distress Scores after one eight-week cycle. An improvement in Edmonton Functional Assessment Tool scores occurred in 53% and remained unchanged in 13% of patients. On a scale of 0-10, overall QoL improved in 56% of patients, remained unchanged in 18%, and worsened in 26%. Palliative Care Problem Severity Scale scores after an eight-week cycle improved in 58%.; This enhanced therapeutic model of SPDC allows for the tracking of progress toward specific goals and monitoring of patients' symptoms, functional status, QoL, and complexity. Retrospective analyses of validated tools show SPDC results in both maintenance and improvement of all parameters.
Item Type:
Article
Language:
en
Keywords:
OUTCOME MEASURES; PALLIATIVE CARE; DAY CARE; QUALITY
Local subject classification:
VALIDATED TOOLS
ISSN:
1873-6513

Full metadata record

DC FieldValue Language
dc.contributor.authorKilonzo, Isaeen
dc.contributor.authorLucey, Michaelen
dc.contributor.authorTwomey, Feargalen
dc.date.accessioned2015-07-14T09:25:35Zen
dc.date.available2015-07-14T09:25:35Zen
dc.date.issued2015-04-23en
dc.identifier.citationImplementing Outcome Measures Within an Enhanced Palliative Care Day Care Model. 2015: J Pain Symptom Manageen
dc.identifier.issn1873-6513en
dc.identifier.pmid25912276en
dc.identifier.doi10.1016/j.jpainsymman.2015.04.006en
dc.identifier.urihttp://hdl.handle.net/10147/560355en
dc.description.abstractSpecialist palliative care day care (SPDC) units provide an array of services to patients and their families and can increase continuity of care between inpatient and homecare settings. A multidisciplinary teamwork approach is emphasized, and different models of day care exist. Depending on the emphasis of care, the models can be social, medical, therapeutic, or mixed. We describe our experience of introducing an enhanced therapeutic specialist day care model and using both patient- and carer-rated tools to monitor patient outcomes.en
dc.description.abstractValidated tools used to monitor patients' progress were the Edmonton Symptom Assessment System, the Edmonton Functional Assessment Tool, Part A of the McGill Quality of Life (QoL) Index, and the Palliative Care Problem Severity Scale.en
dc.description.abstractParticipating patients received multidisciplinary teamwork input over eight-week cycles of care and completed the validated tools.en
dc.description.abstractA total of 70.6% of patients showed an improvement in their Edmonton Symptom Assessment System Symptom Distress Scores after one eight-week cycle. An improvement in Edmonton Functional Assessment Tool scores occurred in 53% and remained unchanged in 13% of patients. On a scale of 0-10, overall QoL improved in 56% of patients, remained unchanged in 18%, and worsened in 26%. Palliative Care Problem Severity Scale scores after an eight-week cycle improved in 58%.en
dc.description.abstractThis enhanced therapeutic model of SPDC allows for the tracking of progress toward specific goals and monitoring of patients' symptoms, functional status, QoL, and complexity. Retrospective analyses of validated tools show SPDC results in both maintenance and improvement of all parameters.en
dc.languageENGen
dc.language.isoenen
dc.rightsArchived with thanks to Journal of pain and symptom managementen
dc.subjectOUTCOME MEASURESen
dc.subjectPALLIATIVE CAREen
dc.subjectDAY CAREen
dc.subjectQUALITYen
dc.subject.otherVALIDATED TOOLSen
dc.titleImplementing Outcome Measures Within an Enhanced Palliative Care Day Care Model.en
dc.typeArticleen
dc.identifier.journalJournal of pain and symptom managementen

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