How to Identify the Inpatient's Palliative Care Needs in a Hemato-Oncological Ward: Ask the Nurses!

A qualitative evidence synthesis of healthcare professionals’ experiences and views of palliative care for patients with a haematological malignancy

“…This model focuses on identifying people at risk of dying to improve their end-of-life care. Nurses spend large amounts of time at patients' bedside and are ideally placed to assess the factors that indicate if a person is highly likely to deteriorate and die and requires palliative care interventions (Button et al, 2016;Hopprich, Reinholz, Gerlach, & Weber, 2018). While the 11 clinical indicators identified by Button, Gavin, et al, (2019) Haematologists are well aware that "building bridges" with palliative care colleagues can result in "a uniform team," which better serves patients and their families and reduces the current gaps in end-of-life care for patients with haematological malignancies (LeBlanc, 2016, p. 266).…”

“…This model focuses on identifying people at risk of dying to improve their end‐of‐life care. Nurses spend large amounts of time at patients’ bedside and are ideally placed to assess the factors that indicate if a person is highly likely to deteriorate and die and requires palliative care interventions (Button et al., 2016; Hopprich, Reinholz, Gerlach, & Weber, 2018). While the 11 clinical indicators identified by Button, Gavin, et al., (2019) could be used by both haematologists and specialist nurses as a screening framework to initiate sensitive discussions with patients and their families in both inpatient and outpatient settings, referral to palliative care should ideally be based on needs rather than life expectancy (Porta‐Sales & Noble, 2019).…”

Zusammenarbeit von Intensivmedizin und Palliativmedizin

“…Jedoch werden nicht alle Kriterien von den Intensivärzten akzeptiert und angewendet [ 2 ]. Die konsequente Einbindung der Krankenpflege kann helfen, Patienten mit Bedarf an Palliativmedizin zu identifizieren, ohne dass starre Kriterien vorgegeben werden [ 11 , 13 ].…”