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Harnessing the chaplain's capacity to identify unmet palliative needs of vulnerable older adults in the emergency department
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Objective: To explore chaplains' ability to identify unmet palliative care (PC) needs in older emergency department (ED) patients.
Methods: A palliative chaplain-fellow conducted a retrospective chart review evaluating 580 ED patients, age =80 using the Palliative Care and Rapid Emergency Screening (P-CaRES) tool. An emergency medicine physician and chaplain-fellow screened 10% of these charts to provide a clinical assessment. One year post-study, charts were re-examined to identify which patients received PC consultation (PCC) or died, providing an objective metric for comparing predicted needs with services received.
Results: Within one year of ED presentation, 31% of the patient sub-sample received PCC; 17% died. Forty percent of deceased patients did not receive PCC. Of this 40%, chaplain screening for P-CaRES eligibility correctly identified 75% of the deceased as needing PCC.
Conclusion: Establishing chaplain-led PC screenings as standard practice in the ED setting may improve end-of-life care for older patients.
https://journals.sagepub.com/doi/10.1177/08258597211003359
Voir la revue «JOURNAL OF PALLIATIVE CARE, 37»
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