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ACE Nursing Education

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The following article examines issues common at the end of life, Read this article to learn more about patient needs at the end of life. Click on the following link to go the website, print and read the article. Then, print, answer and submit the following test to your manager or educator.

Lippincott's Nursing Center.com – resources for better care

Geriatrics and Palliative Care: Collaboration for Quality of Life Until Death
Elaine J. Amella PhD, APRN, BC
Jrnl of Hospice and Palliative Nursing, Jan/Mar 2003 Vol5(1):40-48

Post Test

T/F 1. Health promotion is important, even as death approaches.

T/F 2. The dying processing the older adult tends to be

T/F 3. Diagnosis of illness in older adults can be difficult because symptoms tend to be vague.

T/F 4. The classic symptoms of MI in older adults is new onset dyspnea and fatigue.

T/F 5. The chances of an institutional death increase with age.

T/F 6. Visual, hearing and health screenings are important at the end of life.

T/F 7. Health promotion at the end of life can help the patient and caregiver avoid preventable stress.

T/F 8. Dementia is a terminal illness.

The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.

Currently available protocols are:
  • CAP - Community Acquired Pneumonia Orderset
  • Congestive Heart Failure (CHF)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetic Ketoacidosis Adult, ICU
  • General Medicine Admission
  • Immunodeficiency Flow Panel
  • MICU/CCU Admission Order Set
  • Oral Analgesic Medicaitons
  • Parenteral Opioids
  • Sepsis, Adult ICU
  • 111 - Stroke Alert
  • 112 - Stroke Activation
  • 300086 - Stroke Floor Admission
  • 3000000001 -  Stroke Critical care without tPA
  • 300088 Stroke - Transfer from Critical care to floor
  • 3004002 - Stroke Discharge

All protocols can be found in the EPIC order set section.

» For more information

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The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.

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