Home
Resource
Increasing interdisciplinary discussion on end of life and POLST form completion in the medical intensive care unit
PDF
PDF format is widely accepted and good for printing.
Plug-in required
Access to this PDF has been restricted at the author's request.
Citation & Export
View Usage Statistics
Staff View

Citation & Export
Hide

Simple citation

Rana, Dimpal. Increasing interdisciplinary discussion on end of life and POLST form completion in the medical intensive care unit. Retrieved from https://doi.org/doi:10.7282/t3-eq0p-gf55

Export

Click here for information about Citation Management Tools at Rutgers.

Statistics
Hide

Description

TitleIncreasing interdisciplinary discussion on end of life and POLST form completion in the medical intensive care unit
NameRana, Dimpal (author); Willard, Suzanne (chair); Rutgers University; School of Nursing - RBHS
Date Created2020
Other Date2020-05 (degree)
SubjectPOLST form, Family Nurse Practitioner
Extent1 online resource (118 pages) : illustrations
DescriptionPurpose of Project: End of life conversations are extremely important for providers to have with their patients. In the medical intensive care unit, life-saving therapies such as artificial ventilation, cardiopulmonary resuscitation, and artificial nutrition/hydration are not out of the question. Therefore, knowing the wishes of patients is vitally important because these therapies can many times prolong death and suffering.

Methodology: This quality improvement project used a retrospective and prospective chart review, along with a pre and post-survey with an educational intervention and introduction of Karnofsky Performance scale for nurses working in the MICU.

Results: These findings showed higher rates of POLST form completion from 1% to 4% and an increase in an interdisciplinary discussion on EOL conversation from 12.1% to 64% which shows that the education influenced nurses. Although there was a significant increase in documentation of EOL conversations, more time is needed to see a much more significant rise in POLST form completion

Implications for Practice: Health care providers need to maintain ongoing communication regarding the patient's needs and preferences to provide holistic care. Ensuring that patients are being screened upon admission makes sure that the EOL conversation and goals of care are discussed in a timely manner. Having a policy in place will enforce this screening process. Documentation in the medical record regarding these preferences will be easy to track and can easily be found if an emergent situation arises.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-eq0p-gf55
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
Version 8.5.5
Rutgers University Libraries - Copyright ©2024