The Going Home Initiative: Getting Critical Care Patients Home With Hospice

Author:

Lusardi Paula1,Jodka Paul2,Stambovsky Mark3,Stadnicki Beth4,Babb Betty5,Plouffe Danielle6,Doubleday Nancy7,Pizlak Zophia8,Walles Katherine9,Montonye Martin10

Affiliation:

1. Paula Lusardi is a clinical nurse specialist in the adult intensive care unit, cochair of the intensive care unit’s palliative care committee, and director of nursing research at Baystate Medical Center, Springfield, Massachusetts.

2. Paul Jodka is attending physician in the critical care division, director of anesthesia/critical care fellowship, and cochair of the intensive care unit’s palliative care committee at Baystate Medical Center and an assistant professor of medicine at Tufts University School of Medicine, Boston, Massachusetts.

3. Mark Stambovsky is a staff nurse in the intensive care unit at Baystate Medical Center.

4. Beth Stadnicki is a staff nurse in the intensive care unit and cochair of the intensive care unit’s palliative care committee at Baystate Medical Center.

5. Betty Babb is a staff nurse in the intensive care unit at Baystate Medical Center.

6. Danielle Plouffe is a staff nurse in the intensive care unit and cochair of the intensive care unit’s palliative care committee at Baystate Medical Center.

7. Nancy Doubleday is an adult nurse practitioner with Baystate Medical Practices, Adult Medicine, Springfield, Massachusetts.

8. Zophia Pizlak is a staff nurse in the intensive care unit at Baystate Medical Center.

9. Katherine Walles is a staff nurse in the intensive care unit at Baystate Medical Center.

10. Martin Montonye is the vice president of academic affairs at HealthCare Chaplaincy, New York, New York.

Abstract

Although considerable effort is being directed at providing patients and their families with a “good death,” most patients in intensive care units, if given the choice, would prefer to die at home. With little guidance from the literature, the palliative care committee of an intensive care unit developed guidelines to get patients home from the intensive care unit to die. In the past few years, the unit has transferred many patients home with hospice care, much to the delight of their families. Although several obstacles to achieving this goal exist, the unit has achieved success in a small-scale implementation of its Going Home Initiative.

Publisher

AACN Publishing

Subject

Critical Care,General Medicine

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