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Using a standardized assessment tool to identify patients for referral to discuss and understand their goals of care
Reshna Thapa1, Joy Elwell1, Savitha Chandramohan1
1University of Connecticut, School of Nursing, Storrs, CT, USA.
Introduction:
Dementia, a terminal illness, deteriorates the physical and mental health as it advances. Discussing goals of care (GOC) is important in these patients but there is no standard way to identify these patients.
Purpose:
Identify patients that can be referred for GOC discussion based on their quality of life (QOL) by utilizing dementia quality of life (DEMQOL) or DEMQOL carer tools.
Methods:
The study was conducted in a nursing home in long-term care patients diagnosed with dementia. Patients who scored less than 90 in assessment tools were referred for GOC discussion.
Results:
20 patients and family participated in the study. Unit A had total of 62.5% referral rate, unit B had 66.7%, and unit C had 66.7%. Total referrals showed increased number of patients that were referred for goals of care discussion.
Conclusion:
Utilization of QOL assessment tools is feasible in nursing home. DEMQOL/DEMQOL carer, an assessment tool helped identify patients for GOC discussion.
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