Keywords

assessment of the actively dying patient, predicting time to death, prognostic indicators of imminent death, symptoms observed in last hours of life, transfer at end of life

 

Authors

  1. Fohn, Sara Lorene BSN, RN, CHPN
  2. Mulvenon, Carol MS, APRN, ACHPN
  3. McElroy, Susan F. PhD, RN

Abstract

This study evaluated a tool to identify patients who are imminently dying to prevent the transfer of these patients during the dying process. The End-of-Life Transfer Tool was developed by the investigators based on themes from the literature and experiences of palliative care experts. The final checklist contained 6 objective assessment elements. Thirty patients seen by the palliative care team during a 10-month period were included in the study conducted in a Midwestern teaching hospital. An inversely, statistically significant correlation was found on the total score as assessed by the palliative care nurses and the actual time of death, indicating a relationship between the score on the tool and the time to death. This pilot work serves as the beginning research toward the development of a brief tool to support the decision-making of the bedside nurse.