ISSN: 2165-7386
Journal of Palliative Care & Medicine
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EMERGENCY MEDICAL SYSTEM AND NURSING HOME PATIENTS: IS THERE A WAY TO BETTER USE EXISTING RESOURCES TO IMPROVE THE QUALITY OF CARE?
2nd Global Congress on Hospice & Palliative Care
Fabrice Dami
Lausanne University Hospital, Switzerland
Posters & Accepted Abstracts: J Palliat Care Med
DOI:
Abstract
Background: Our population is aging and there are a growing number of Nursing Home (NH) residents who benefit from ambulance transport to the Emergency Department (ED), which are not known to be 芒�?�?senior friendly芒�?�? and are often on surge capacity. Simultaneously, we face a reduced availability of General Practitioners (GP) to visit these patients prior their transport to the ED. Hypothesis: Many NH patients are transported by ambulance to the ED without having benefitted from a medical evaluation on site. Palliative and end of life care could sometimes be provided on site rather than having the patient transported. Setting: The State of Vaud (Switzerland) dispatch centre sends ambulances and, when a life-threatening situation is suspected, a Pre-hospital Emergency Physician (PEP) too. Results: We previously published a case series where PEPs have been able to provide palliative and end of life care on site, according to the patient and relative芒�?�?s will, and we with the support of the NH. Discussion: EMS systems that dispose of PEPs should use this resource not only for life-threatening emergencies but also to provide palliative and end of life care, when all parties (patient, relatives, NH) agree with this strategy, therefore avoiding unnecessary transport to crowded ED.Biography
Email: Fabrice.Dami@chuv.ch
