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The impact of a novel tool for comprehensive assessment of palliative care (MPCAT) on assessment outcome at 6- and 12-Month Follow-Up.

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Show simple item record O'Reilly, Martina Larkin, Philip Conroy, Marian Twomey, Feargal Lucey, Michael Dunne, Colum P. Meagher, David 2021-01-28T15:11:50Z 2021-01-28T15:11:50Z 2019
dc.description peer-reviewed en_US
dc.description.abstract Context Assessment in palliative care settings should be focused, sensitive, specific, and effective to minimize discomfort to vulnerable and often highly morbid patients. This report describes the development of an admission assessment protocol for a Specialist Palliative Care Inpatient Unit and its implementation into clinical practice. Objectives The aim of this study was to develop and investigate the impact of the implementation of a Specialist Palliative Care admission assessment tool on documentation of key patient needs. Methods The outcome of a systematic literature review was used to develop an admission assessment protocol (the intervention) in a Specialist Palliative Care Inpatient Unit. Mixed methods were used to facilitate a comprehensive evaluation pre- and post-intervention to test the effectiveness, feasibility, and acceptability of the intervention. Results The documented evidence of pain assessment improved from a baseline rate of 71% to 100% post-intervention. This improvement was maintained 12 months post-introduction of the tool (P < 0.001). The documented evidence of screening for spiritual distress increased from a baseline rate of 23% to 70% at 6 months and to 82% at 12 months (P < 0.001). The number of referrals made in the first 24 hours after assessment increased post-intervention (physiotherapy, P = 0.001; occupational therapy, P = 0.001; social work, P = 0.005; pastoral care, P = 0.005); this was maintained at 12 months. Significantly, more clinicians (88%) agreed that palliative care domains were comprehensively assessed post-intervention in comparison with 59% pre-intervention (P = 0.01). Conclusion Introducing the Milford Palliative Care Assessment Tool was associated with significant improvement in assessment of multiple important aspects of patient need. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Journal of Pain and Symptom Management;52 (1), pp. 107-116
dc.subject pain en_US
dc.subject palliative care en_US
dc.subject assessment en_US
dc.title The impact of a novel tool for comprehensive assessment of palliative care (MPCAT) on assessment outcome at 6- and 12-Month Follow-Up. en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US 2017-09-21T11:06:34Z
dc.description.version ACCEPTED
dc.identifier.doi 10.1016/j.jpainsymman.2015.12.343
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1642369
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Journal Of Pain And Symptom Management
dc.description.status peer-reviewed

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