A Hospice and Palliative Care Bed Dedicated to Patients Admitted to the Emergency Department for End-of-Life Care

Am J Hosp Palliat Care. 2016 May;33(4):403-6. doi: 10.1177/1049909114562947. Epub 2014 Dec 14.

Abstract

A hospice and palliative care (PC) bed was created in 2006, located within a quiet area of our intensive care unit, in order to admit terminally ill patients sent to the emergency department (ED) for end-of-life care. We retrospectively analyze the records of the 342 terminally ill patients sent to the ED from 2007 to 2011. Among them, 176 (51.5%) were admitted to our hospice and PC bed, where 114 died. Besides, 99 (28.9%) of them died on stretchers in the ED. Our intervention led to a significant decrease in the number of terminally ill patients dying on stretchers in the ED. It also allowed both patients and families to have access to a more suitable environment.

Keywords: death; emergency department; end-of-life care; hospice care; intensive care unit; palliative care.

MeSH terms

  • Aged
  • Emergency Service, Hospital / organization & administration*
  • Female
  • Hospice Care / organization & administration*
  • Humans
  • Male
  • Palliative Care / organization & administration*
  • Retrospective Studies