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

DOI: 10.1038/jp.2014.189

Publisher

Journal Of Perinatology : Official Journal Of The California Perinatal Association

Date

2015

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.

Rights

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).

Citation List Month

March 2016 List

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 December 5, 2021, https://pedpalascnetlibrary.omeka.net/items/show/10920.

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