Topic 7- Response to classmate Response

QUESTION-Identify the audience for your EBP proposal and discuss strategies for disseminating the proposal.

CLASSMATE Response: Topic 7 DQ 1-Brianna

The audience that I plan to reach is physicians in the ICU setting. The way to disseminate the proposal is simply to make education regarding palliative care more common to medical professionals. There have been plenty of times when I have had a patient’s family member state “I had no idea what palliative care meant, or what this type of care has to offer.” There have also been comments made by healthcare professionals like “Palliative care is too easy, patients just come to you and die.” I propose that there should be protocols in the intensive care units (ICUs) that determine when a patient should be offered palliative services. “Palliative care is patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering when “curative” therapies are futile. In the Intensive Care Unit (ICU), critically ill patients receive life-sustaining therapies with the goal of restoring or maintaining organ function. Palliative Care in the ICU is a widely discussed topic and it is increasingly applied in clinics. It encompasses symptoms control and end-of-life management, communication with relatives and setting goals of care ensuring dignity in death and decision-making power” (Mercadante, Gregoretti, & Cortegiani, 2018). Although ICU care and palliative care are complete opposites, they should work together to ensure that a patient who is declining has a dignified death. Furthermore, it should be started in the ICU before transferring to the palliative care unit.

References:

Mercadante, S., Gregoretti, C., & Cortegiani, A. (2018). Palliative care in intensive care units: why, where, what, who, when, how. BMC anesthesiology, 18(1), 1-6.

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Solution

QUESTION-Identify the audience for your EBP proposal and discuss strategies for disseminating the proposal.

Response to classmate Response

Intensive care focuses on maintaining the vital functions of the critically ill to reduce mortality and morbidity among these patients. When these patients are no longer responding to the treatment provided, and the set care objectives cannot be achieved, physicians in the ICUs should introduce effective palliative care; however, most physicians in the ICU setting lack the specific knowledge and training required to provide adequate palliative care. Hence the need to make palliative care education more common to the care providers in ICUs, especially the physicians. Palliative care is a rapidly growing approach among medical care providers who provide care to critically ill patients. The key components of palliative care include effective management of psychological, physical and spiritual distress symptoms, timely and sensitive communication in regards to appropriate care goals for the intensive care in regards to condition, prognosis and patient’s values, attention to the family member needs and concerns, aligning treatments with the preferences of the patient and planning of care transition (Avati et al., 2018). Unlike hospice care which is provided to individuals in the last phase of incurable conditions, palliative care should not be based on patient’s prognosis but on the needs of the patients and needs to be included as an essential component of comprehensive care that should begin once patients are admitted to the ICUs.

References

Avati, A., Jung, K., Harman, S., Downing, L., Ng, A., & Shah, N. H. (2018). Improving palliative care with deep learning. BMC medical informatics and decision making, 18(4), 55-64.

Link: https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-018-0677-8