Palliative care has demonstrated effectiveness in managing patients with complex medical issues while at the same time decreasing medical
utilization.

  1. Despite this benefit, palliative care in the home has been difficult to develop due to a lack of funding and appropriate staffing models.
  2. RPM has shown high quality outcomes without in-person contact with a healthcare provider.
  3. In this case study, the utilization of RPM allowed the nursing staff to monitor vital signs frequently, educate KR to interpret her vital signs and act appropriately, and educate KR on the impact that her non-compliant behaviors have on her wellness.

The palliative care philosophy allowed the nurse and patient to develop a partnership. Through the clarification of goals, focused education was provided and the patient became engaged in her wellness.

The combination of the palliative philosophy and RPM, KR was able to improve her wellness and decrease hospital and ER utilization which supports the hypothesis that adding PRM to an in home palliative care program may create a sustainable funding and staffing model for this care.

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