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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?

3rd International Conference on Palliative Care & Hospice Nursing

Fabrice Dami

University Hospital Lausanne, Switzerland

Posters & Accepted Abstracts: J Palliat Care Med

DOI:

Abstract
Background: Our population is aging. There is a growing number of nursing home (NH) residents who benefit from ambulance transport to the emergency department (ED) , which are not known to be �seniors friendly� 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 prehospital emergency physician (PEP). 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�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.
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