期刊
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
卷 32, 期 2, 页码 198-204出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1049909113518962
关键词
patient; family care; end-of-life decision making; emergency care; end-of-life care
资金
- pilot grant from the Baldy Center for Law and Social Policy at the University at Buffalo
The nature of emergency end-of-life calls is changing as people live longer and die from chronic illnesses. This study explored prehospital providers' perceptions of (1) end-of-life 911 calls, (2) the signs and symptoms of dying, and (3) medical orders for life sustaining treatment (MOLST). The exploratory-descriptive pilot study was survey based and cross-sectional. Calls to nursing homes occur most often, (47.8% every shift). The MOLST was seen infrequently (57.9% rarely never). The most frequent signs and symptoms of dying were diagnosis (76%), hospice involvement (82%), apnea (75%), mottling (55%), and shortness of breath (48%). The MOLST identifies wishes about intubation (74%), resuscitation (74%), life-sustaining treatment (72%), and cardiopulmonary resuscitation (70%). Synergy exists between the fields of prehospital, hospice, and palliative medicine which offers potential for improved education and care.
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