Provider Education Key to Improving End-Stage Dementia Care

Blog -- APRN Quality Improvement Project

Blog: Provider-Associated Barriers to Hospice Referrals

The process of writing the quality improvement project for improving hospice referrals for patients suffering from end-stage dementia care was very instructive. Reading the relevant literature revealed which research questions in dementia care are considered important by scientists and care professionals and which questions have yet to be asked. Aside from helping to outline appropriate goals for the quality improvement project, this task revealed that end-stage dementia care is a relatively understudied area of medicine. Writing the literature review also uncovered a list of best practice recommendations for palliative care, in relation to dementia, which was previously unknown to me. Overall, writing the quality improvement project helped me collect best practice recommendations authored by dementia care experts and understand the state of research in palliative care for patients suffering from end-stage dementia. This in turn increased my proficiency as a nurse working in palliative medicine.

Writing the methods section for the quality improvement project forced me to think about the most important preventable barriers affecting timely and appropriate hospice referrals for this patient population, which led me to provider-associated barriers. As I scoured the literature it became apparent that improving provider competency concerning EOL planning and prognosis determination for end-stage dementia patients would be one way to make significant improvements in the quality of EOL care being provided to both patients and informal caregivers. This task forced me to consider my own role as a nurse working in palliative medicine and how I can contribute to the timely and appropriate provision of hospice referrals for this patient population, thereby increasing my competency.