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Development and protocol for a nurse-led telephonic palliative care program
Audrey J Tan1, Rebecca Yamarik2, Abraham A Brody3
1Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, NY; Division of Geriatric Medicine and Palliative Care, NYU Grossman School of Medicine, New York, NY.
Background:
The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models.
Purpose:
We present the structure of a nurse-led telephonic palliative program and operational metrics to influence further development of tele-palliative programs.
Methods:
The nurses engage with seriously ill patients for 6 months with the goal of discussing advance care planning (ACP) and addressing self-identified issues related to their illness.
Findings:
Of the first 100 program graduates, 78% were actively engaged and 51% named a health care agent and/or engaged in ACP. Of the 18 patients who died during the study, 13 (72%) were enrolled in hospice services.
Discussion:
Our preliminary results indicate that seriously ill patients are willing to engage with nurses and to participate with discussions on ACP.
Conclusion:
Given the gaps in health care exposed by the COVID-19 pandemic, this innovative program serves as an important model for bringing palliative care directly to patients.
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