End-of-life Care In A Regional Level Iv Neonatal Intensive Care Unit After Implementation Of A Palliative Care Initiative
Title
End-of-life Care In A Regional Level Iv Neonatal Intensive Care Unit After Implementation Of A Palliative Care Initiative
Creator
Samsel C; Lechner BE
Identifier
Publisher
Journal Of Perinatology
Date
2014
Subject
Female; Health Personnel/education; Humans; Infant Newborn; Intensive Care Units Neonatal/organization & Administration; Male; Palliative Care; Practice Guidelines As Topic; Prospective Studies; Quality Of Life; Retrospective Studies; Terminal Care
Description
OBJECTIVE:
We hypothesized that the implementation of a neonatal palliative care initiative will result in improved markers of end-of-life care.
STUDY DESIGN:
A retrospective and prospective chart review of neonatal intensive care unit deaths was performed for 24 months before, 16 months during and 24 months after the implementation of palliative care provider education and practice guidelines (n=106). Ancillary care, redirection of care, palliative medication usage and outcome meetings in the last 48 h of life and basic demographic data were compared between epochs. Parametric and nonparametric analysis was performed.
RESULT:
There was an increase in redirection of care and palliative medication usage and a decrease in variability of use of end-of-life interventions (P=0.012, 0.022 and <0.001).
CONCLUSION:
The implementation of a neonatal palliative care initiative was associated with increases in palliative interventions for neonates in their final 48 h of life, suggesting that such an initiative may enhance end-of-life care.
We hypothesized that the implementation of a neonatal palliative care initiative will result in improved markers of end-of-life care.
STUDY DESIGN:
A retrospective and prospective chart review of neonatal intensive care unit deaths was performed for 24 months before, 16 months during and 24 months after the implementation of palliative care provider education and practice guidelines (n=106). Ancillary care, redirection of care, palliative medication usage and outcome meetings in the last 48 h of life and basic demographic data were compared between epochs. Parametric and nonparametric analysis was performed.
RESULT:
There was an increase in redirection of care and palliative medication usage and a decrease in variability of use of end-of-life interventions (P=0.012, 0.022 and <0.001).
CONCLUSION:
The implementation of a neonatal palliative care initiative was associated with increases in palliative interventions for neonates in their final 48 h of life, suggesting that such an initiative may enhance end-of-life care.
Rights
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Type
Journal Article
Citation List Month
March 2016 List
URL Address
Citation
Samsel C; Lechner BE, “End-of-life Care In A Regional Level Iv Neonatal Intensive Care Unit After Implementation Of A Palliative Care Initiative,” Pediatric Palliative Care Library, accessed April 29, 2024, https://pedpalascnetlibrary.omeka.net/items/show/15015.