Yale palliative care

Yale palliative care DEFAULT

Hospice & Palliative Medicine Fellowship

Since , the Yale Palliative Care Program has grown quickly to provide increasing clinical care and educational program support to the Yale New Haven Hospital and Yale School of Medicine community. We aim to provide high-quality, whole person care to our patients with serious illness and their families. The Yale Hospice and Palliative Medicine Fellowship is a 1-year ACGME-accredited clinical fellowship within the Department of Internal Medicine. We were excited to launch this fellowship in Our goal is to train diverse future leaders in palliative care education and practice in our robust palliative care learning laboratory.

During this intensive one year clinical training program, fellows develop expertise in symptom assessment and management, comprehensive care plans that honor patient preferences, coping and unique characteristics, as well as, advanced serious illness communication skills for conversations with patients, families, and other health care providers. Fellows are active members of our interdisciplinary team from day one, rotate at multiple community sites, and are coached in resilience practice. Mentorship is provided by a faculty of physicians who are board certified in Hospice and Palliative Medicine along with a full interdisciplinary team of palliative care experts.

The Yale Palliative Care Program also values educational innovation. Thus, we are delighted to support two combined pilot fellowship programs. Please click on the relevant tabs to read more about the Yale Geriatrics-HPM 2 year combined fellowship (began ) and the Yale Nephrology-HPM 2 year combined fellowship (beginning ). Fellows completing these programs are board-eligible in both of the combined subspecialties.

Sours: https://medicine.yale.edu/intmed/education/fellowship/palliative/

The Palliative Care GPS

The Palliative Care Policy GPS

The Solomon Center for Health Law and Policy and the Center to Advance Palliative Care (CAPC) have launched an innovative new initiative — the Palliative Care Policy GPS (GPS) — a publicly accessible and regularly updated database that tracks state policies on palliative care and related services.

In recent years, state policymakers have increasingly paid more attention to palliative care, improving access and quality along the way. The importance of palliative care, which focuses on providing relief from symptoms and stress of serious illness to improve quality of life, and the need for innovative policymaking to support it, has become clearer over the past year and a half. But tracking developments in policies and regulations across states has been difficult. States maintain their own data on legislation and regulations, with no centralized platform bringing together information from across the country.

The GPS aims to fill this gap. It tracks policies related to palliative care across the 50 states, Washington, D.C., the Indian Health Service (IHS), the Department of Veterans Affairs (VA), and U.S. territories. By consolidating the landscape of state policymaking, the GPS offers a new tool for health care professionals, policymakers, palliative care champions, payers, and purchasers to search, compare, gain new ideas, and stay up-to-date on policy developments. The GPS has three primary aims:

  1. to provide a detailed and continuously updated database tracking palliative care policies
  2. to support cutting-edge research, including by students, on palliative care policy drawing on the information gathered
  3. to encourage policy innovation aimed at ameliorating disparities in access and quality.

The GPS will serve as a resource for palliative care advocates working with their own state policymakers to craft more effective laws bolstering the field. The GPS classifies palliative care legislation in seven core categories: workforce, payment, quality/standards, clinical skill-building, pediatric palliative care, public awareness, and telehealth. Legislation can be sorted by location, category, status, and timeframe. Users can assess legislative developments over time all in one place, encouraging the identification of trends, gaps, innovative policy initiatives, and best practices. These advancements could ameliorate disparities in access to high-quality palliative care, expand the palliative care workforce, drive essential skills across key clinicians, and increase public awareness of palliative care

Building a Coalition of Palliative Care Advocates

The GPS represents a unique partnership between a community of students and experts at Yale and beyond. The GPS marks a first-of-its-kind collaboration with CAPC, a national organization dedicated to increasing the availability of quality health care for people living with a serious illness. CAPC is part of the Icahn School of Medicine at Mount Sinai, in New York City. 

Yale Law School students have been centrally involved in the process of creating and maintaining the GPS. Over the – academic year, students provided vital contributions — ranging from conducting the initial surveys of all 50 states and related entities to successfully submitting articles and abstracts on the GPS and researching bills addressing palliative care across the country.

Scholarly collaboration has been essential in fostering the Solomon Center's palliative care initiatives. In fall , the Solomon Center convened a working group comprising palliative care scholars, practitioners, and advocates from a variety of institutions. In addition to providing invaluable advice on the function and future of the GPS, the working group supports a range of research and writing from cutting-edge studies on palliative care to work that will translate findings into targeted policy recommendations.


Palliative Care GPS Working Group

The Solomon Center GPS Working Group is a multi-disciplinary collaboration focused on novel palliative care policy initiatives. The Working Group brings together scholars and practitioners from a variety of institutions and supports a wide range of research and writing: from cutting-edge studies on palliative care to work that will translate findings into targeted policy recommendations. The projects of the Working Group may take the form of white papers, model legislation, or other interventions promoting quality and access to care.

Founding Palliative Care GPS Team Members:

  • Shelli Feder, PhD, APRN, FNP-BC, ACHPN: Assistant Professor in Nursing, Yale School of Nursing
  • Abbe R. Gluck, JD ('00): Alfred M. Rankin Professor of Law and the founding Faculty Director of the Solomon Center for Health Law and Policy at Yale Law School; Professor of Internal Medicine, Yale School of Medicine
  • Karen Jubanyik, MD: Associative Professor in the Department of Emergency Medicine and Director of the Emergency Medicine Clerkship, Yale School of Medicine
  • Nina Kohn, JD: David M. Levy L'48 Professor of Law and Faculty Director for Online Education, Syracuse University College of Law; Distinguished Scholar in Elder Law, Yale Law School
  • Suzanne Marmo-Roman, PhD: Assistant Professor of Social Work, Sacred Heart University
  • Eugene Rusyn, JD ('17): Editor-in-Chief of the Palliative Care Policy GPS
  • Dena Shulman-Green, PhD: Associate Professor, New York University Rory Meyers College of Nursing

Palliative Care Medical-Legal Partnership

The Solomon Center also coordinates a Palliative Care Medical-Legal Partnership (MLP) to provide civil legal services to palliative care and cancer patients at the Smilow Cancer Hospital at Yale New Haven Hospital (YNHH). Students provide services within the health clinic setting, working closely with the social work team at Smilow to identify patients nearing the end of their life who need assistance to get their affairs in order. Under the supervision of Rebecca Iannantuoni, a partner at Day Pitney LLP, a Connecticut law firm that handles estate-planning matters,  students conduct intake interviews with clients and draft desired documents, such as wills, power-of-attorney agreements, and advanced health care directives, and they also work on real-estate transactions and guardianship issues.

For more on our Medical Legal Partnership program, see here.


Palliative Care Publications and Events

Publications

Events

  • August 12, , "How to Improve Palliative Care Access and Quality at the State Level", presented by Eugene Rusyn ('17), Editor-in-Chief of the Palliative Care GPS, and Stacie Sinclair, Associate Director for Policy at CAPC
  • February 25, , “All Health Policy is Local: States Paving the Way for Palliative Care,” a presentation by Dr. Diane Meier, a pioneer in the field of palliative care and the Director of CAPC.
Sours: https://law.yale.edu/solomon-center/projects-publications/palliative-care-gps
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Appointments

Biography

Provides clinical palliative medicine to patients at Smilow Cancer Hospital. In addition, she focuses on developing a research mission in palliative medicine and expanding teaching opportunities for existing Yale faculty, staff, fellows, residents, and medical students. Has been charged with creating an ACGME certified fellowship in hospice and palliative care.

Education & Training

  • Associate Professor

    Yale University School of Medicine ()

  • Associate Professor of Clinical Medicine

    University of Pennsylvania ()

  • Assistant Professor of Clinical Medicine

    University of Pennsylvania ()

  • Instructor

    University of Pennsylvania ()

  • Fellowship

    University of Pennsylvania ()

  • Fellowship

    University of Pennsylvania ()

  • Chief Resident

    University of Colorado ()

  • Residency

    Universtiy of Colorado ()

  • Intern

    University of Colorado ()

  • MD

    University of Pennsylvania Medical School, MD ()

  • BA

    Moravian College, Pre-Medicine ()

Activities

  • Connecticut Coalition to Improve End-of-Life Care Annual Meeting

    Fairfield, United States

    Connecticut Coalition to Improve End-of-Life Care Annual Meeting

  • Association for Medical Education and Research in Substance Abuse Conference, Boston, MA, Survivor story: Beating cancer & Tapering opioids

    Boston, United States

    Association for Medical Education and Research in Substance Abuse Conference, Boston, MA, Survivor story: Beating cancer & Tapering opioids

  • Czech Republic National Palliative Care Symposium, Prague, Czech Republic

    Prague, Czech Republic

    Czech Republic National Palliative Care Symposium, Prague, Czech Republic. “Inpatient palliative care: Creating Programs to Support Seriously Ill Patients.

  • Program for Biomedical Ethics: Palliative Sedation

    New Haven, United States

    Program for Biomedical Ethics: Palliative Sedation. Panel Member. Yale University School of Medicine, New Haven, CT

  • Mayo Clinic Department of Medicine Grand Rounds

    Rochester, United States

    Mayo Clinic Department of Medicine Grand Rounds, Rochester, MN “Yale Palliative Care Evolution: Building Programs to Support Older adults with Serious Illnesses

  • University of Alabama Geriatric Grand Rounds

    Birmingham, United States

    University of Alabama Geriatric Grand Rounds, Birmingham, AL “A Common Mission, Conflict Evolution, and burnout Prophylaxis: Building Interdisciplinary Team Resilience.”

  • University of Pennsylvania Palliative Medicine Grand Rounds

    Philadelphia, United States

    University of Pennsylvania Palliative Medicine Grand Rounds, Philadelphia, PA. “Conflict resolution Skill for Palliative Care Teams.”

  • University of Michigan Department of Internal Medicine Symposia

    Ann Arbor, United States

    University of Michigan Department of Internal Medicine, Ann Arbor, MI, Palliative Care and Pain Management Symposia: “Clinical Issues in the Care of Older Adults”

  • Society of General Internal Medicine New England Regional Meeting

    Boston, United States

    Society of General Internal Medicine: New England Regional Meeting, Boston, MA “Goals of care communication: innovative, practical methods for your own clinical practice and your teaching” co-presenter Dr. Matthew Ellman

  • Comfort Keepers Senior Network

    Guilford, United States

    Comfort Keepers Senior Network, Guilford Senior Center, “Palliative Care Program Overview”

  • St. Mary’s Hospital Grand Rounds

    Waterbury, United States

    St. Mary’s Hospital, Waterbury, CT, Grand Rounds Speaker, “Palliative Care”

  • Connecticut Hospital Association

    Wallingford, United States

    Connecticut Hospital Association: “Approaches to Palliative Care”. Wallingford, CT

  • State of CT Legislature

    Hartford, United States

    State of CT Legislature: “Advancing Palliative Care in CT”. Hartford, CT

  • New Haven Senior Network Talk

    New Haven, United States

    New Haven Senior Network Talk, New Haven, CT

  • American Liver Foundation Regional Division

    North Haven, United States

    American Liver Foundation, Regional Division, North Haven, CT, “When to Refer and How to Collaborate Seamlessly with Palliative Care”

  • Congregation B’nai Jacob

    Woodbridge, United States

    Congregation B’nai Jacob: “What is Palliative Care” Woodbridge, CT.

  • American Society of Clinical Oncologists Annual Meeting

    Hamden, United States

    Yale ASCO Annual Meeting: “Palliative Care and Oncology” Hamden, CT

  • University of Michigan Internal Medicine Grand Rounds

    Ann Arbor, United States

    University of Michigan, Ann Arbor, MI Internal Medicine Grand Rounds, “Yale Palliative Care Program: Opportunities and Expansion”

  • American Academy of Hospice and Palliative Medicine National Conference

    Philadelphia, United States

    American Academy of Hospice and Palliative Medicine National Conference, Philadelphia, PA, “Learning to Love Conflict: Interdisciplinary Teams”

  • American Academy of Hospice and Palliative Medicine National Conference

    Philadelphia, United States

    American Academy of Hospice and Palliative Medicine National Conference, Philadelphia, PA, “Palliative care in the ED: System-Wide Integration”

  • American Academy of Hospice and Palliative Medicine National Conference

    Philadelphia, United States

    American Academy of Hospice and Palliative Medicine National Conference, Philadelphia, PA, “Leadership Skills Training for Palliative Care Fellows”

  • Scleroderma Foundation Patient Education Forum

    Orange, United States

    Scleroderma Foundation/Tri-State, Inc. Patient Education Forum – Yale University West Campus, Orange, CT.

  • American Academy of Hospice and Palliative Medicine National Conference

    New Orleans, United States

    American Academy of Hospice and Palliative Medicine National Conference, New Orleans, LA, “Cultural Aspects of the Mentor Relationships: Mentorship Bootcamp”

  • American Academy of Hospice and Palliative Medicine National Conference

    Denver, United States

    American Academy of Hospice and Palliative Medicine National Conference, Denver, CO, “Conflict Resolution: Palliative Medicine Junior Faculty Bootcamp”

  • Palliative Medicine Fellowship Director's Summit

    Grapevine, United States

    Palliative Medicine Fellowship Director's Summit, Grapevine, TX, "PIF , take 2"

  • National Veteran’s Administration EPEC Conference

    Chicago, United States

    National Veteran’s Administration EPEC Conference, Chicago, IL, “EPEC for Vets”

  • Palliative Medicine Fellowship Director’s Summit

    Atlanta, United States

    Palliative Medicine Fellowship Director’s Summit, Atlanta, GA, “PIF ”

  • American Academy of Hospice and Palliative Medicine National Meeting

    Boston, United States

    American Academy of Hospice and Palliative Medicine National Meeting, Boston, MA, “Peer Mentoring Groups”

  • Southern Jersey Ethics Alliance Day Conference

    Galloway, United States

    Southern Jersey Ethics Alliance Day Conference, Richard Stockton College, Galloway, NJ, “Troubling Abundance of Care: Over-treatment at the End of Life?”

  • University of Colorado Geriatrics Grand Rounds

    Denver, United States

    Geriatrics Grand Rounds, University of CO, Denver, CO, "Prognostication in Chronic Disease"

  • American Academy of Hospice and Palliative Medicine National Meeting

    Salt Lake City, United States

    American Academy of Hospice and Palliative Medicine National Meeting, Salt Lake City, UT, “Making Palliative Care Work”

  • Moderator, American Geriatrics Society National Meeting

    Chicago, United States

    Moderator, American Geriatrics Society National Meeting, Chicago, IL, “Pain and Dementia Patients”

  • American Academy of Hospice and Palliative Medicine National Meeting

    Nashville, United States

    American Academy of Hospice and Palliative Medicine National Meeting, Nashville, TN, “Geriatric Palliative Care”

  • NHPCO Leadership Meeting

    Hollywood, United States

    NHPCO Leadership Meeting, Hollywood, FL, “Between a Rock and a Hard Place: Ethical and Legal Challenges of Hospice Discharge”

  • New Jersey State Nursing Association-Atlantic Health System Ethics Conference

    Morristown, United States

    New Jersey State Nursing Association-Atlantic Health System Ethics Conference, Morristown, NJ, “End of Life Decision Making- Preventing unwarranted suffering”

  • American Academy of Hospice and Palliative Care National Meeting

    Phoenix, United States

    American Academy of Hospice and Palliative Care National Meeting, Phoenix, AZ, “Assessing Decision Making Capacity”

Honors & Recognition

AwardAwarding OrganizationDate
Connecticut Coalition To Improve End of Life Care Presidents AwardConnecticut Coalition To Improve End of Life
The Second Century of Women at Yale: Emerging Leaders in Internal Medicine AwardYale University
Ribbon of DistinctionAmerican Academy of Hospice and Palliative Medicine National Meeting
Francis T. Sterling Educational Excellence AwardVeteran's Administration Medical Center Philadelphia
Outstanding Committee Member Service AwardAmerican Geriatrics Society Ethics Committee
First Place Poster Award, Quality of Life CategoryAmerican Geriatrics Society
First Place Poster AwardAmerican Academy of Hospice and Palliative Care National Meeting
Hartford Foundation Geriatric Academic Fellowship AwardHartford Foundation Geriatric
Chief Residency Internal MedicineUniversity of Colorado
First Place Poster AwardNational American College of Physicians Abstract Contest

Professional Service

OrganizationRoleDate
Yale School of Medicine Retention Working GroupCommittee Member - Present
Yale School of Medicine Department of Medicine Diversity CommitteeDepartment of Medicine Diversity Committee - Present
Smilow YCC Clinical CouncilCommittee Member - Present
Yale School of Medicine Thesis Advisor, PA Master Thesis. Meg Schultheiss, Consider Palliative Care: A Decision Aid to Improve Palliative Care Knowledge, Yale School of Medicine
Yale School of Medicine Presenter Medical Grand Rounds “Caring in the Time of COVID: Building Support for Patients, Their Families and Ourselves”
Yale New Haven Health System Mortality Review Committee Ad Hoc MemberAd-hoc Member -
Smilow Mortality Review Committee MemberCommittee Member -
Dynamed Palliative CareEditor -
Yale School of Medicine Deans Faculty Standards Nominating CommitteeCommittee Member
Yale School of Medicine Yale Internal Medicine Intern Selection CommitteeCommittee Member -
Data and Safety Monitoring Committee (DSMC), Yale Cancer Center, Yale UniversityCommittee Member -
Yale School of Medicine, Yale Hospice and Palliative Medicine Fellowship Selection CommitteeCommittee Member -
Yale School of Medicine Yale Medical Directors Leadership CommitteeLeadership Committee -
Yale School of Medicine Heart Failure Readmission Unit CommitteeMember
Yale School of Medicine Rothman Index CommitteeMember
Yale School of Medicine Rothman Index Research CommitteeResearch Committee Member
Yale School of Medicine MICU Step-Down Unit End Of Life CommitteeMember
Yale New Haven Hospital/Yale Cancer Center American College of Surgeons Cancer Program CommitteeMember -
Yale New Haven Hospital Oncology Patient Safety and Quality CouncilMember -
Smilow Physician Leadership CouncilMember -
American Academy of Hospice and Palliative MedicineLeadership Committee -
Yale School of Medicine Chair Palliative Task Force CommitteeChair -
Yale New Haven Hospital Bereavement CommitteeMember -
American Geriatric Society Palliative Medicine SIGChair -
Journal of General Internal Medicine, Journal of Hospital MedicineReviewer -
Journal of Hospital MedicineAssociate Editor -
American Geriatric Society Ethics CommitteeMember -
American Academy of Hospice and Palliative MedicineMember -
American Geriatric SocietyMember -
American College of PhysiciansMember -

Departments & Organizations

Edit Profile

Sours: https://medicine.yale.edu/profile/jennifer_kapo/
Dr. Kapo on Addressing Palliative Care With Patients

Palliative and End-of-Life Care Education

Palliative care is any form of medical care or treatment that reduces the severity of disease symptoms. Effective palliative care helps prevent and relieve suffering, and improves the quality of life of people facing serious, complex and advanced illness.

Comprehensive and Multidisciplinary Education

Over the past several years the Yale School of Medicine has developed and implemented successful educational activities to enhance end-of-life and palliative care curriculum at the Yale School of Medicine. Our focus is integration of end-of-life and palliative care education into the curriculum over the four years of medical school. We believe all medical student graduates, regardless of future specialty, should acquire basic comfort, knowledge and skills in the care of patients with terminal illness. In our efforts, we have been successful at building collaborations within the institution and developing both inter-disciplinary and inter-institutional educational teams that include diverse clinical departments. The program provides a comprehensive approach that focuses on the physical, psycho-social, spiritual and practical needs of patients and families.

To cure sometimes, to relieve often, to comfort always - this is our work. This is the first and great commandment. And the second is like unto it - Thou shalt treat thy patient as thou wouldst thyself be treated.

Anonymous, 15th century
Sours: https://medicine.yale.edu/md-program/curriculum/clinicalskills/palliative/

Care yale palliative

What is Palliative Care?

“Comprehensive care, provided by an interdisciplinary team, for patients and families, particularly where care is focused on alleviating suffering and promoting quality of life&#;Major concerns are pain and symptom management, information sharing and advance care planning, psychological and spiritual support, and coordination of care, including arranging for excellent services in the community.”

Billings A. What is Palliative Care? J Palliative Medicine.

Why Spirituality and Medicine?

“Doctors must develop an awareness that those persons who come to them have a variety of needs. Recognizing those needs is crucial. It is unrealistic to expect the doctor to meet and treat them all. But just as I as an internist and geriatrician can make a diagnosis of cancer-even though I do not perform surgery or administer chemotherapy, or provide radiation therapy-so all physicians should be able to get a sense of a person&#;s need for spiritual help and respond with respect and, if necessary, appropriate referral. Palliative medicine, with its deep roots in the hospice movement, has recognized the need to attend to spirituality in assessing the suffering of persons with life-threatening illness.”

- Sheehan, M. Spirituality and Medicine, J Palliative Medicine,

Recommended reading

  1. AAHPM definition of Palliative Care
Sours: https://assessment-module.yale.edu/im-palliative/what-palliative-care
Simulation training in palliative care- Video Abstract ID 153630

YNHH Embraces Comfort and Quality of Life with New Supportive Care Unit: Positive Change in a Time of Turmoil and Fear

Though we get daily reminders that the COVID pandemic is far from over, March through May may always be etched in the memories for YNHH and YSM faculty and staff, patients and their caregivers as a significant time. It is also a time when the Supportive Care Unit (SCU) at YNHH was organized. The professionalism and compassion of the SCU team and their impact on those first patients and their caregivers was remarkable and deserving of tribute. Christopher Ahern, DO, a palliative care fellow at the time, captures the feelings of many at SCU when he said, “I am proud of the medical care I provided during my time on the SCU but I'm most proud of the truly patient-focused team we built; we were all pushed out of our comfort zones and driven by our mission to bring compassionate end-of-life care to those most in need. As a united team, we were able to weave together our different skill sets and our true love of this difficult but sacred work into a physical and emotional space - a sheltered place in the midst of a pandemic storm.”

The Supportive Care Unit of Yale New Haven Hospital opened in April during the peak of the coronavirus pandemic in Connecticut. It is dedicated to comfort-focused and end of life care for patients throughout Yale New Haven Hospital. It was developed to provide a structured, subspecialized approach to the unique needs of these patients and their caregivers and families. It is supported by the full interdisciplinary palliative care team, including social work, spiritual care, art therapy, bereavement counseling, pharmacy, as well as palliative care physicians and APRNs. The unit works closely with Vitas for comprehensive end-of-life support for patients pursuing inpatient hospice care.

The Unit initially opened on Smilow North Pavilion 4. Despite the enormous challenges of the time, the palliative care program and nursing leadership, led by Leah Barton, MSN, RN, brought together a diverse team of caregivers for the Supportive Care Unit and helped promote a culture of caring. From the beginning, the unit served to support patients, many of whom were unable to visit with caregivers and families due to either visitor restrictions or to individual quarantine, health, and safety needs. Christopher Ahern, DO, who served as a palliative care fellow this spring, says, “Working in the supportive care unit was an immensely powerful experience. In a time of such uncertainty and fear, the chance to be physically and emotionally present for patients and their families who were coming face to face with the worst of this virus was a true honor.”

In addition to comprehensive symptom management and comfort-focused medical care, the unit supports patients and families through unique, thoughtful means. Families are encouraged to contact bedside nurses 24/7 for updates on their loved ones and can host virtual visits if loved ones are unable to come to the bedside. Led by Leah Tenenbaum, palliative care chaplain, the unit creates patient biographies which are posted at the bedside, providing structure for families to describe their loved ones, their lives, values, and what they would want to communicate to their caregivers. This helps the Supportive Care Unit tailor care for patients, and fosters connection between patients and providers, especially when patients are unable to speak for themselves. For example, learning about the music patients prefer helps provide comfort for families and patients, and in some cases obviates the need for pharmacologic therapy for agitation or delirium. The unit receives pictures from family to post at the bedside to provide comfort and familiarity, and supply handknit blankets and even fresh flowers from volunteer services for patient rooms. Through a YNHH Auxiliary grant, volunteer services provide reading materials focused on grief, loss and end-of-life care, as well as art materials and journals, for families visiting the unit.

The story of Gloria Peragine exemplifies the goals and strengths of the Supportive Care Unit at YNHH. Gloria was in a community nursing home at the beginning of the COVID pandemic. She tested positive for COVID on April She had been unable to have daily visits from her daughter, Teri Phillips, for several weeks due to visitor restrictions related to the pandemic. While initial symptoms were mild, her condition worsened, and she was transferred to YNHH May 3 after a fall. Teri learned of the severity of her mother’s illness and received regular communication from the time of admission to YNHH. Despite usual medical care, Gloria’s condition continued to decline, and it became clearer to her caregivers and family that she was likely nearing the end of her life. After extensive discussions with Gloria’s doctors and nurses, her family decided to focus on comfort-focused care. At that, point, Gloria was transferred to the Supportive Care Unit. Once there, Teri said, “What impressed me the most with Liz and team and, all at Yale actually, was the personal care and attention that they gave her – the fact that they asked her what kind of food she likes, what kind of music, what movies does she like? They were treating her as a patient and as a family member, rather than as someone at the end stage of her life. It was a beautiful ending to a terrible tragedy.” She added, “The best decision I ever made was to move her to Yale; […] I know the last week of her life was comfortable, that someone cared for her and went in every hour or as needed because they cared – because we could not go.” The Supportive Care Unit team met its mission by providing all-encompassing care for Gloria and her family.

In May, the Supportive Care Unit transitioned to Smilow North Pavilion 12 in the former Extended Care Clinic space under the leadership of Brianna Lutz BSN, RN, OCN, APSM, and nursing director, Tracy Carafeno MS, RN, CNML. Elizabeth Prsic, MD, director, Adult Inpatient Palliative Care and firm chief for Operations and Quality, Medical Oncology serves as the medical director of the unit with the support of Jennifer Kapo, MD, chief of Palliative Care. Thankfully, with the decline of cases in the hospital, the unit has been able to transition care to focus on the larger, COVID negative patient population. The four-bed unit currently accepts COVID negative patients daily 8 a.m p.m. for admission; please contact the “Supportive Care Unit SCU Covering Provider” in Mobile Heartbeat or the palliative care physician on call for referrals.

Sours: https://medicine.yale.edu/news-article/ynhh-embraces-comfort-and-quality-of-life-with-new-supportive-care-unit-positive-change-in-a-time-of-turmoil-and-fear/

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