An Improvement Project for Hospice-Palliative Coverage Rate among Critically Ill Patients with Terminal Respiratory Disease
李榮真(Jung-Chen Lee)；朱璧岑(Pi-chen Chu)；黃如鶯(Ju-Yin Huang)；黃品慈(Pin-Cih Huang)；吳淑蓉(Shu-Jung Wu)；吳大瑋(Da-Wei Wu)
重症末期呼吸器依賴 ； 安寧療護 ； 安寧共同照護評估表 ； critically and terminally ill ventilator-dependent ； hospice-palliative care ； hospice shared care assessment form
|Volume or Term/Year and Month of Publication||
49卷6期（2016 / 12 / 31）
20 - 31
Advanced medical technology has increased the life span of critically ill patients. However, such patients are characterized by multiple organ failure and even terminal cancer. Therefore, it is extremely important to promote the concept of palliative care, enabling terminally ill patients to be free from suffering before dying. The study ward mainly admitted ventilator-dependent patients, among whom the hospice-palliative coverage rate for critically ill patients with terminal respiratory disease was only 38.6%. The reasons were identified as follows: lack of hospice shared care assessment tool, inconsistency between patients or family members’ disease knowledge and physician diagnosis, lack of hospice-palliative care brochures, and lack of hospice-palliative care education and training program. Intervention strategies included as follows: (1) holding family meetings to provide information about hospice-palliative care, (2) making patient education video for critically ill patients with terminal respiratory disease, (3) designing a hospice shared care assessment form and a hospice shared care guidance for critically ill patients with terminal respiratory disease, (4) Instructing the use of downloading App-QR Code for hospice-palliative care related information, and (5) arranging in-service education. The hospice-palliative coverage rate increased to 65.3%, which thereby improved the quality of end-of-life care for critically ill patients.