AI Article Synopsis

  • The report outlines a new 7-day nurse-led palliative care service at a UK acute district general hospital, emphasizing its importance and implementation.
  • It highlights that in the first year, clinical nurse specialists conducted 651 weekend consultations, with significant patient needs primarily related to pain and symptom management.
  • The evaluation demonstrates the impact of this continuous service, noting that 23% of new patients passed away during the weekend or early Monday, underscoring the necessity for consistent palliative care support.

Article Abstract

Introduction: This report describes the activity of a new 7-day-per-week, nurse-led palliative care service in an acute district general hospital in the UK.

Methods: The service is based in a hospital with an integral cancer centre. On the weekends, one clinical nurse specialist (CNS) is present within the hospital, with a consultant providing telephone support. The data for this report was obtained by reviewing the team's clinical database and the patients' individual clinical assessments.

Results: During the first year, the CNSs undertook 651 face-to-face weekend consultations. Overall, 25% of the total consultations and 18% of new patient consultations were undertaken on the weekends. The primary reasons for reviewing patients on the weekends were pain (46%), other symptoms (27.5%), and patient on the Liverpool Care Pathway (17%). Overall, 23% of new patients died over the weekend or in the early hours of the Monday morning.

Conclusions: This service evaluation provides evidence of the value of having a 7-day-per-week palliative care service in an acute district general hospital.

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Source
http://dx.doi.org/10.12968/ijpn.2013.19.3.148DOI Listing

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