1
40
2
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1038/jp.2014.193" target="_blank" rel="noreferrer">http://doi.org/10.1038/jp.2014.193</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Impact of a palliative care program on end-of-life care in a neonatal intensive care unit
Publisher
An entity responsible for making the resource available
Journal Of Perinatology
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Creator
An entity primarily responsible for making the resource
Younge N; Smith PB; Goldberg RN; Brandon DH; Simmons C; Cotten CM; Bidegain M
Description
An account of the resource
Objective:Evaluate changes in end-of-life care following initiation of a palliative care program in a neonatal intensive care unit.Study design:Retrospective study comparing infant deaths before and after implementation of a Palliative Care Program comprised of medication guidelines, an individualized order set, a nursing care plan and staff education.Result:Eighty-two infants died before (Era 1) and 68 infants died after implementation of the program (Era 2). Morphine use was similar (88% vs 81%; P =0.17), whereas benzodiazepines use increased in Era 2 (26% vs 43%; P=0.03). Withdrawal of life support (73% vs 63%; P=0.17) and do-not-resuscitate orders (46% vs 53%; P=0.42) were similar. Do-not-resuscitate orders and family meetings were more frequent among Era 2 infants with activated palliative care orders (n=21) compared with infants without activated orders (n=47).Conclusion:End-of-life family meetings and benzodiazepine use increased following implementation of our program, likely reflecting adherence to guidelines and improved communication.Journal of Perinatology advance online publication, 23 October 2014; doi:10.1038/jp.2014.193.
2014-10
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1038/jp.2014.193" target="_blank" rel="noreferrer">10.1038/jp.2014.193</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2014
Backlog
Bidegain M
Brandon DH
Cotten CM
Goldberg RN
Journal Article
Journal Of Perinatology
Simmons C
Smith PB
Younge N
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
March 2016 List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Impact Of A Palliative Care Program On End-of- Life Care In A Neonatal Intensive Care Unit.
Publisher
An entity responsible for making the resource available
Journal Of Perinatology : Official Journal Of The California Perinatal Association
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Subject
The topic of the resource
Benzodiazepines/therapeutic Use; Cause Of Death; Female; Humans; Infant; Infant Death; Infant Newborn; Intensive Care Units Neonatal/organization & Administration; Male; Morphine/therapeutic Use; Palliative Care; Resuscitation Orders; Retrospective Studies; Terminal Care; Withholding Treatment/trends
Creator
An entity primarily responsible for making the resource
Younge N; Smith PB; Goldberg RN; Brandon D; Simmons C; Cotten CM
Description
An account of the resource
OBJECTIVE:
Evaluate changes in end-of-life care following initiation of a palliative care program in a neonatal intensive care unit.
STUDY DESIGN:
Retrospective study comparing infant deaths before and after implementation of a Palliative Care Program comprised of medication guidelines, an individualized order set, a nursing care plan and staff education.
RESULT:
Eighty-two infants died before (Era 1) and 68 infants died after implementation of the program (Era 2). Morphine use was similar (88% vs 81%; P =0.17), whereas benzodiazepines use increased in Era 2 (26% vs 43%; P=0.03). Withdrawal of life support (73% vs 63%; P=0.17) and do-not-resuscitate orders (46% vs 53%; P=0.42) were similar. Do-not-resuscitate orders and family meetings were more frequent among Era 2 infants with activated palliative care orders (n=21) compared with infants without activated orders (n=47).
CONCLUSION:
End-of-life family meetings and benzodiazepine use increased following implementation of our program, likely reflecting adherence to guidelines and improved communication.
Identifier
An unambiguous reference to the resource within a given context
DOI: 10.1038/jp.2014.193
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Benzodiazepines/therapeutic Use
Brandon D
Cause Of Death
Cotten CM
Female
Goldberg RN
Humans
Infant
Infant Death
Infant Newborn
Intensive Care Units Neonatal/organization & Administration
Journal of perinatology : official journal of the California Perinatal Association
Male
March 2016 List
Morphine/therapeutic Use
Palliative Care
Resuscitation Orders
Retrospective Studies
Simmons C
Smith PB
Terminal Care
Withholding Treatment/trends
Younge N