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Sunday, December 8, 2013

Transdisciplinary approach to palliative care                             in an acute care setting.

Omega (Westport). 2013;67(1-2):43-51.

Building a transdisciplinary approach to palliative care in an acute care setting.

Source

Clinical Resource Management, Palomar Health, USA. donnimarie@yahoo.com

Abstract

A transdisciplinary team is an essential component of palliative and end-of-life care. This article will demonstrate how to develop a transdisciplinary approach to palliative care, incorporating nursing, social work, spiritual care, and pharmacy in an acute care setting. 

Objectives included: identifying transdisciplinary roles contributing to care in the acute care setting; defining the palliative care model and mission; identifying patient/family and institutional needs; and developing palliative care tools. 

Methods included a needs assessment and the development of assessment tools, an education program, community resources, and a patient satisfaction survey. 

After 1 year of implementation, the transdisciplinary palliative care team consisted of seven palliative care physicians, two social workers, two chaplains, a pharmacist, and End-of-Life Nursing Consortium (ELNEC) trained nurses. 

Palomar Health now has a palliative care service with a consistent process for transdisciplinary communication and intervention for adult critical care patients with advanced, chronic illness.

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