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Technology and health care for the elderly medical research studies

Focus on strategic priorities that have significant social impact.

CAT 2015-32

Integrated Approach to Palliative Care in Acute Care (iPAC-AC)

Findings from this project will enable the project team to develop evidence-informed recommendations for integrating a palliative approach into acute care medical units, create practice support tools to facilitate transitions in the care journey and provide data to inform the design of a full-scale implementation project in acute care related to the integration of a palliative approach.

Possible Research Results

Anticipated findingsResults will provide insight into the complexities of bridging the research-practice gap, and will develop a knowledge and skill base for sustainable practice change. This will inform the development of practice supports and recommendations for integrating a palliative approach into acute care medical units.

Impact of findingsActivities throughout the study will lead to practice change and improved care. Findings will enable us to develop evidence-informed recommendations and practice supports for integrating a palliative approach into acute care medical units. Administrators and policy-makers will receive an evaluation framework for the integration of a palliative approach, including outcome measures and benchmarks to increase sustainability. Successfully integrating a palliative approach into acute care can improve care and may also reduce unnecessary, aggressive treatments and time spent in hospital, thereby reducing costs.

About the Project

Many older adults in Canada die from life-limiting illnesses such as heart, lung and kidney disease, cancer, dementias and frailty. Of these older adults, the large majority will die in acute care hospitals where the quality of care has been reported to be one where patients suffer with pain and other symptoms, experience poor quality of care and are subjected to treatments that have little benefit in enhancing their quality of life. Building on our previous research we will use participatory approaches to work with staff on acute care medical units to integrate a palliative approach into their practice.

For more details on the project rationale, hypothesis, objectives and research plan, click here.

Project Team

Principal Investigators:

Kelli Stajduhar, PhD, MSN, BN, RN -- University of Victoria

Neil Hilliard, MD -- Fraser Health Authority

Richard Sawatzky, PhD, MSc, BSc, RN -- Trinity Western University


Gweneth Doane, RN, PhD -- University of Victoria

Lesli Matheson, BSW, MSW -- Fraser Health Authority

Claudia Meyerman, BA -- Fraser Health Authority

Sheryl Reimer-Kirkham, RN, PhD -- Trinity Western University

Della Roberts, RN, MSN, CHPCN(C) -- Fraser Health Authority

Project Contact: Dr. Kelli Stajduhar --

CAT 2015-32