Saturday 5 April ? Respiratory Nurses SIG Oral Presentations (1030?1200)
Bibliographic record
Abstract
Background Patients with end stage respiratory disease (ENSD) have an uncertain prognosis, deteriorate rapidly, over a period of days or hours, and commonly die in acute care settings. Introduction The St George end of life pathway was developed in response to evidence that current models of end-of-life care were failing to meet the needs of dying patients. This tool was designed to enable clinicians working in the acute care setting to integrate pivotal palliative care principles in the care of patients. Aim The aim of this observational study was to evaluate the benefits to patients and carers of the end-of -life pathway implemented in an acutecare respiratory setting. Method A cohort of dying respiratory patients (n = 13), who were placed on the end of life pathway in the period from November 2001 to November 2002, was examined to assess the acceptability and utility of the pathway. This was performed by chart review and staff reflection through a focus group. Results Completed care plans revealed the complexity of symptoms experienced by patients during this vulnerable period of their illness trajectory. Key areas for intervention included management of symptoms such as: pain, respiratory secretions, nausea and vomiting, dyspnoea, personal comfort, psychosocial and spiritual needs. 100% of patients had critical orders and no patients in this cohort received traumatic and unnecessary interventions such as intubation or arterial punctures. Staff described feeling more confident and having more guidance when caring for dying respiratory patients.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".