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Hospitals and nursing homes can learn much from hospice care
Date:1/22/2014

There is much value in training hospital and nursing home staff in the basics of palliative care to make the last days of a dying patient's life as comfortable and dignified as possible. So says F. Amos Bailey of the Birmingham Veterans Affairs Medical Center and the University of Alabama at Birmingham in the US. Bailey is the leader of a study that saw the benefits of introducing palliative care strategies, typical of hospices, within the setting of Veterans Affairs Medical Centers. Although conducted with US veterans in mind, their findings can have a wider impact, as most Americans will eventually die within the inpatient setting of a hospital or nursing home. The study appears in the Journal of General Internal Medicine, published by Springer.

The Best Practices for End-of-Life Care for Our Nations' Veterans (BEACON) trial was conducted at six Veterans Affairs Medical Centers, where over 1,620 staff members received training in various processes of care relevant to the dying. It aimed to test the value of introducing such processes of care within the inpatient setting of a hospital or a medical center to ease the end-of-life experience of dying patients and their families.

The multi-component intervention included training hospital staff on how to identify dying patients, how to communicate the prognosis to patients and families, and how to implement best practices of traditionally home-based hospice care in the inpatient setting. The intervention was supported by an electronic order set - called a comfort care order set - and other educational tools to prompt and guide implementation by hospital staff.

The research group found that this broadly targeted intervention strategy led to modest but statistically significant changes in several processes of care. These include more orders for opioid medication for pain and shortness of breath, antipsychotic and benzodiazepine medications for delirium, agitation and anxiety as
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Contact: Joan Robinson
joan.robinson@springer.com
49-622-148-78130
Springer
Source:Eurekalert

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