Anticipatory Care for End-of-Life Symptoms to Improve Quality of Death in Nursing Homes

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GeriCare provides medical support for geriatric and palliative care residents in Nursing Homes (NH) via teleconsultation. However, the profiles and needs of palliative and non-palliative residents requiring urgent medical care from NH are not known. This project aims to identify the profile of palliative and non-palliative residents, in addition, compare the reasons for urgent teleconsultation between palliative and non-palliative residents.

Does Advance Care Planning Affect Prognosis of Nursing Home Residents after enrolling into a Palliative Care
Programme

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Advance Care Planning (ACP) is a process that can assist individuals, including those with life limiting illnesses, to receive individualised care and die in a place of preference 1 Although the aims of ACP to uphold patient’s preferences are largely deemed to be beneficial, 2 little is known if ACP completion affects the prognosis of Nursing Home (NH) palliative residents GeriCare is a community palliative care programme that supports NH residents with palliative care needs and aims to empower NH nurses to care for palliative residents ACP is introduced to residents shortly after enrolment into GeriCare, which enables residents to state their preferences regarding end of life (EOL) care, preferred place of care (PPOC) and preferred place of death (PPOD) through ACP, especially in the last year of life.

Characteristics of Palliative Care patients who are more likely to die in hospital

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Most patients prefer to die at home rather than in hospital, yet
many palliative care patients still die in acute hospital During the
last phase of their lives, they may visit the Emergency Department
more frequently 1 2 and be admitted despite their wishes and
preferences

Interprofessional collaboration in geriatric
teleconsultations: An exploratory qualitative study.

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Telemedicine in nursing homes increases access to care. Nursing home nurses present resident cases to remote physicians through videoconferencing. Close interprofessional collaboration is required as clinical decision-making depends upon online informational exchange between both parties. Online environments affect interprofessional communication, exploring collaboration and communication is essential to develop gold standards in telemedicine practice.