{"id":1931,"date":"2025-02-20T09:21:03","date_gmt":"2025-02-20T17:21:03","guid":{"rendered":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/?p=1931"},"modified":"2025-03-04T14:04:59","modified_gmt":"2025-03-04T22:04:59","slug":"inpatient-palliative-care-compassionate-withdrawal-protocol","status":"publish","type":"post","link":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/structural-empowerment\/inpatient-palliative-care-compassionate-withdrawal-protocol\/","title":{"rendered":"Inpatient palliative care: Compassionate withdrawal protocol\u00a0"},"content":{"rendered":"<p><span data-contrast=\"auto\">Non-Invasive Vent Removal has become increasingly prevalent with the aging and chronically ill patient populations. Many of these patients are unable to successfully wean off high-flow oxygen or BiPAP and may reach a point where the focus shifts to quality of life. In such cases, patients often choose to remove life-prolonging devices to prioritize comfort at the end of life.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559685&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">To support this critical aspect of care, an extensive multidisciplinary effort, involving palliative care specialists and frontline experts, led to the development of a comprehensive protocol. The Palliative Care Unit Practice Council and Comfort Care Committee led this project with the aim to develop a protocol that ensures that nurses and physicians can seamlessly order and administer medications to prevent dyspnea and other symptoms during vent removal.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559685&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The process was guided by a thorough literature review, adapting guidance and guidelines from trusted sources in palliative and end-of-life (EOL) care, despite the limited availability of evidence. The protocol has been translated into several practical resources:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559685&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"26\" data-aria-level=\"1\"><span data-contrast=\"auto\">Guideline Format: A clear and concise reference to support clinical decisions.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"27\" data-aria-level=\"1\"><span data-contrast=\"auto\">Nursing HealthStream Module: An educational tool designed to bridge knowledge gaps.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"28\" data-aria-level=\"1\"><span data-contrast=\"auto\">Order Panel for Physicians: A streamlined tool to guide medication orders effectively.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"29\" data-aria-level=\"1\"><span data-contrast=\"auto\">Orientation Component: Educational materials incorporated into nursing orientation to build foundational knowledge.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">The Comfort Care Committee played a vital role in improving workflows, collaborating with nursing colleagues and leadership to ensure smooth transitions for every patient who chooses to remove non-invasive ventilation. This initiative highlights the commitment to patient-centered care, prioritizing comfort and dignity at the end of life.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559685&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Non-Invasive Vent Removal has become increasingly prevalent with the aging and chronically ill patient populations.<\/p>\n","protected":false},"author":2,"featured_media":2737,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_custom_body_class":"","_custom_post_class":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[55],"tags":[],"ncal_area":[97],"site_only":[],"report_year":[58],"class_list":["post-1931","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-structural-empowerment","ncal_area-santa-rosa","report_year-58","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Inpatient palliative care: Compassionate withdrawal protocol\u00a0 - Kaiser Permanente Northern California 2024 Annual Nursing Report<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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