Care for a Dying Patient: EMS Perspectives on Caring for Hospice Patients

被引:4
作者
Wenger, Andrew [1 ]
Potilechio, Megan [1 ]
Redinger, Kathryn [2 ]
Billian, Joseph [3 ]
Aguilar, John [4 ]
Mastenbrook, Josh [2 ]
机构
[1] Northern Arizona Healthcare, Dept Palliat Care, Flagstaff, AZ USA
[2] Western Michigan Univ, Homer Stryker MD Sch Med, Dept Emergency Med, Kalamazoo, MI USA
[3] Western Michigan Univ, Homer Stryker MD Sch Med, Div Epidemiol & Biostat, Kalamazoo, MI USA
[4] Madison Emergency Phys, Madison, WI USA
关键词
Hospice; pre-hospital; EMS; education; POLST; end-of-life; DNR;
D O I
10.1016/j.jpainsymman.2022.04.175
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Context. EMS providers frequently encounter patients in end-of-life situations. These situations can become ethically challenging depending on the nature of the event, availability of advance directives, and overall understanding of the situation by the patient and caregivers. This is particularly true for patients who are enrolled in Hospice, a specific form of end-of-life care available to patients with a terminal illness and expected lifespan of less than six months. Objectives. This study aimed to survey the state of Michigan's EMS providers regarding encounters with hospice patients to better understand challenges caring for this population and to identify any need for additional education. Methods. An anonymous electronic survey was distributed via agency medical directors and a statewide listserv to all licensed EMS providers. Responses were collected via RedCap. Descriptive statistics were calculated. Results. A total of 706 responses were received. Most responses were from paramedics (55%) or EMTs (34%). 96% indicated having at least one encounter with a hospice patient and 66% had greater than 10 encounters. Only 24% had received formal education on the care of hospice patients. A high percentage (86%) indicated interest in additional training in this area. Challenges identified among providers were inaccessible advance directives (72%), pressure from family for more aggressive treatment (61%), and difficulty contacting hospice personnel (48%). Conclusion. Educational gaps may be narrowed with additional end-of-life specific curricular components, with EMS providers expressing a strong desire for such training.
引用
收藏
页码:E71 / E76
页数:6
相关论文
共 10 条
  • [1] Breyre A, Effect of a mobile integrated hospice healthcare program on emergency medical services transport to the emergency department, DOI [10.1080/10903127.2021.1900474, DOI 10.1080/10903127.2021.1900474]
  • [2] Palliative Care and Prehospital Emergency Medicine Analysis of a Case Series
    Carron, Pierre-Nicolas
    Dami, Fabrice
    Diawara, Fatoumata
    Hurst, Samia
    Hugli, Olivier
    [J]. MEDICINE, 2014, 93 (25)
  • [3] Emergency Medical Services Provider Experiences of Hospice Care
    Donnelly, Cassandra Barnette
    Armstrong, Karen Andrea
    Perkins, Molly M.
    Moulia, Danielle
    Quest, Tammie E.
    Yancey, Arthur H.
    [J]. PREHOSPITAL EMERGENCY CARE, 2018, 22 (02) : 237 - 243
  • [4] EMS.gov, Home
  • [5] A Literature Review on Care at the End-of-Life in the Emergency Department
    Forero, Roberto
    McDonnell, Geoff
    Gallego, Blanca
    McCarthy, Sally
    Mohsin, Mohammed
    Shanley, Chris
    Formby, Frank
    Hillman, Ken
    [J]. EMERGENCY MEDICINE INTERNATIONAL, 2012, 2012
  • [6] Emergency Department Management of Hospice Patients #246
    Lamba, Sangeeta
    Quest, Tammie E.
    Weissman, David E.
    [J]. JOURNAL OF PALLIATIVE MEDICINE, 2011, 14 (12) : 1345 - 1346
  • [7] National Association of State EMS Officials, Report No. DOT HS 812-666
  • [8] Phongtankuel V, Events leading to hospital-related disenrollment of home hospice patients: a study of primary caregivers' perspectives, DOI [10.1089/jpm.2015.0550, DOI 10.1089/JPM.2015.0550]
  • [9] Why Do Home Hospice Patients Return to the Hospital? A Study of Hospice Provider Perspectives
    Phongtankuel, Veerawat
    Scherban, Benjamin A.
    Reid, Manney C.
    Finley, Amanda
    Martin, Angela
    Dennis, Jeanne
    Adelman, Ronald D.
    [J]. JOURNAL OF PALLIATIVE MEDICINE, 2016, 19 (01) : 51 - 56
  • [10] Prehospital Providers' Perceptions of Emergency Calls Near Life's End
    Waldrop, Deborah
    Clemency, Brian
    Maguin, Eugene
    Lindstrom, Heather
    [J]. AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2015, 32 (02) : 198 - 204