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September 23-24, 2019 | Prague, Czech Republic
2nd International Conference on
Palliative Care
Clinical Trials and Pharmacovigilance
Joint Event
&
Could mobile team improve palliative care in nursing homes?
Cernesi Simone
Ausl Modena, Italy
Background: According to Bone research deaths occurring
in care homes in the UK could more than double in the
next 25 years if trends continue. Our Mobile team tries to
struggle with this challenge. The team consists of a General
Practitioner PC expert, Nurse PC expert, and Psychologist. We
established a mobile team that visits all the public nursing
home (NH) regularly.
Objectives: Find target patients. Involvement of the multi-
professional team help to define Advanced Care Plan
or Anticipate Care Plan. Symptoms control and Therapy
modulation. Audit in difficult cases. Different kind of
intervention (phone calls, NH visits, writing reports).
Method: Peer education. Other aims are data collection and
promote reflective learning.
Results: From May 2018 to September 2018 we have helped
to find 56 cases (10 are in charge, 46 dies). We performed
20 on site consultations. We performed PC consultations
in 8 Nursing homes. We performed 3 audits for difficult
cases. In 3 cases we facilitated the PC specialist, in 3 cases
we suggested psychologist. More than 95% died in NH with
symptom control. We help to define Advanced Care Plan for
every patient.
Conclusion: We have to consider NH as Large diffuse Hospice.
Our team seems to be efficient to help to find the case and
we have positive feedback from the staff. We have avoided
hospitalization in >90% of the cases we have been in contact.
Most of the difficulties (>60%) concerned the relationships
with the caregiver. Still difficult to estimate prognosis but
most of the target patient died in 5 months. We use Focus
group to maintenance this project.
Speaker Biography
Cernesi Simone is from Modena, Italy. He graduated in Medicine
(the University of Modena and Reggio Emilia) in 2008 he is a General
Practitioner in Modena. He works in a nursing home and he is palliative
care consultant, tutor of Family Medicine. He led Movimento Giotto
palliative care and Intermediate care interest group. He has MSc degree
in Palliative Care (ASMEPA-University of Bologna) MSc in Geriatric
Medicine (University of Pavia) attended the European Palliative Care
Academy leadership course (EUPCA) in 2015-2017, he participated
in different International Palliative Care trainings (Houston, Oxford,
Pamplona, Amsterdam, Rotterdam).
e:
Journal of Primary Care and General Practice | Volume 2
J Prim Care Gen Pract, Volume:2