"Tough medicine" : qualitative analysis of clinician experiences providing palliative care in emergency departments

Article indépendant

KREBS, Lynette D. | HILL, Nicole | KIRKLAND, Scott W. | VILLA-ROEL, Cristina | ELWI, Adam | O'NEILL, Barbara | DUGGAN, Shelley | BRISEBOIS, Amanda | ROWE, Brian H.

Health and preventive interventions have significantly increased life expectancies in most developed countries. Resultantly, individuals are increasingly entering palliative care (PC) circumstances, and may present to the emergency department (ED) [1]. Providing care for individuals needing palliative services or at end-of-life (EOL) in the ED is challenging. Characterized by rapid assessment and initiating treatment with the goal of preserving life and facilitating recovery, the impetus within the ED is to ‘do something’ [[2], [3], [4]]. These goals can conflict with PC, which prioritizes ‘being with’ the patient; exploring goals with empathetic conversation while managing symptoms [3]. As such, the dying person can be ‘out of place’ and the dying process undermined by ED realities (e.g., crowding, time pressure) [5]. Exploring PC and EOL care in the ED is needed [6]. [Début de l'article]

http://dx.doi.org/10.1016/j.ienj.2023.101294

Voir la revue «International emergency nursing, 69»

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