Of course this may not be directly relevant but chaplains in the ER can help in providing guidance on palliative care.
TITLE
Harnessing the Chaplain's Capacity to Identify Unmet Palliative Needs of Vulnerable Older Adults in the Emergency Department.
JOURNAL
Journal of palliative care
DOI
10.1177/08258597211003359
Author(s)
Hamill Howard|Elizabeth|E|https://orcid.org/0000-0001-8325-5639;Schwartz|Rachel|R|;Feldstein|Bruce|B|;Grudzen|Marita|M|;Klein|Lori|L|;Piderman|Katherine M|KM|https://orcid.org/0000-0002-6775-032X;Wang|David|D|
Abstract
Objective: To explore chaplains' ability to identify unmet palliative care (PC) needs in older emergency department (ED) patients. Methods: A palliative chaplain-fellow conducted a retrospective chart review evaluating 580 ED patients, age ≥80 using the Palliative Care and Rapid Emergency Screening (P-CaRES) tool. An emergency medicine physician and chaplain-fellow screened 10% of these charts to provide a clinical assessment. One year post-study, charts were re-examined to identify which patients received PC consultation (PCC) or died, providing an objective metric for comparing predicted needs with services received. Results: Within one year of ED presentation, 31% of the patient sub-sample received PCC; 17% died. Forty percent of deceased patients did not receive PCC. Of this 40%, chaplain screening for P-CaRES eligibility correctly identified 75% of the deceased as needing PCC.
Conclusion: Establishing chaplain-led PC screenings as standard practice in the ED setting may improve end-of-life care for older patients.
https://www.focalize.md/find-journals/?a=oAq3PIMBjZS8LUbgmqrS
Mental Health Care Providers suggest a broader discussion of mental health issues as a separate factor in the dying experience is important.
TITLE
Mental Healthcare Providers Understanding and Experiences of Palliative Care: A Qualitative Analysis.
JOURNAL
Journal of palliative care
DOI
10.1177/08258597221134865
Author(s)
Park|Tanya|T|0000-0003-2462-7628;Mutoni|Lydia|L|;Sridhar|Ramya|R|;Hegadoren|Kathy|K|;Workun|Bernadette|B|
Abstract
Objective: To understand the experiences and perceptions of mental health providers about palliative care. Background: Little attention is paid to the experience of people with chronic persistent mental illness (CPMI) and life-threatening diseases and how their dying experience might differ from those without a CPMI. Results: Four themes were identified from the data: intersectionality, limited collaboration, misconceptions about palliative care, and relationships. Mental health providers identified gaps in their knowledge of palliative care practices along with their knowledge of death and dying.
https://www.focalize.md/find-journals/?a=shdjAIQBjZS8LUbgXdGo
