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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Nursing Ethical Principles II01:27

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Guidelines for Writing Outcome01:11

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Respiratory Assessment: Purpose and Indications01:19

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Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
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Standards of Care I01:22

Standards of Care I

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Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
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Updated: Apr 14, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
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Guidelines for Elective Pediatric Fiberoptic Intubation

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Quality indicators for paediatric palliative care.

Janie Charlebois1, Claude Cyr1

  • 1Département de pédiatrie, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Quebec.

Paediatrics & Child Health
|April 28, 2015
PubMed
Summary
This summary is machine-generated.

Paediatric palliative care quality indicators showed unsatisfactory performance in children with chronic complex conditions (CCCs). Improvements are needed in timely goal-of-care discussions and bereavement follow-up for better quality of life.

Keywords:
ChildChronic complex conditionPaediatric palliative careQuality indicators

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Area of Science:

  • Pediatric Palliative Care
  • Quality Improvement Science
  • Healthcare Management

Background:

  • Paediatric palliative care (PPC) is crucial for children with chronic complex conditions (CCCs).
  • Evaluating PPC quality is essential for identifying areas needing improvement.
  • Current quality indicators for PPC require rigorous assessment in clinical settings.

Purpose of the Study:

  • To implement and assess performance against specific quality indicators for paediatric palliative care.
  • To evaluate the effectiveness of current PPC service provision in a university medical centre.

Main Methods:

  • Medical records of 50 children with CCCs (2006-2011) were reviewed.
  • Quality indicators focused on end-of-life care, goal-of-care discussions, procedures, and bereavement follow-up.
  • Data analysis assessed performance metrics against established benchmarks.

Main Results:

  • Only 60% of patients had timely goals-of-care discussions.
  • 44% underwent invasive procedures in their final month; only 50% received bereavement follow-up.
  • Palliative care involvement was linked to fewer invasive procedures and better documentation of preferred place of death.

Conclusions:

  • Performance on key PPC quality indicators was unsatisfactory for children with CCCs.
  • Significant opportunities exist to enhance the quality of paediatric palliative care.
  • Implementing strategies from other paediatric care quality improvements, such as interdisciplinary teamwork, is recommended.