1. it is easy to forget about the comfort

1.

  Background information/ Clinical situation(~1-2paragraphs) As a Respiratory Therapist, one of ourresponsibilities is to make sure that our patients are comfortable during theirend-of life care. Palliative care is defined as relieving patients who have aterminal illness from physical and mental stress. During palliative care, weattempt to treat the symptoms of the patient’s disease as there is no cure forthem.  Invasive mechanical ventilation can have severalcomplications such as barotrauma, volutrauma, muscle degeneration,depression/anxiety and ventilator acquired pneumonia on adult end of lifepatients. However, non-invasive ventilation can be a much more comfortablealternative. If non-invasive ventilation is possible and causes lesscomplications, then perhaps we should lean more towards using it over invasiveventilation on adult palliative patients.  2.

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The specific problem you want to address ( ~1 paragraph) As a clinician it is our job to ensure that ourpatients are as comfortable as they can be. With our busy schedules at thehospitals, it is easy to forget about the comfort of our patient and that iswhy I am going to research whether or not non-invasive ventilation is a morecomfortable and viable alternative to invasive ventilation for end of life carepatients.   3. Is this issue relevant? What do you hope to improve or change by looking into this topic? ( ~ 1paragraph)Throughout my career as a Respiratory Therapist, it isinevitable that I will encounter palliative care patients. Handling anything todo with ventilation is one of our primary responsibilities so the comfort ofthese patients is also my concern.

It is a part of my responsibility to ensurethey are cared for to the best of my ability, therefore their optimal comfortis of my concern.    PART A2 – Develop a Searchable question   Formal PICO Question: In adult palliative patients,is the use of non-invasive ventilation a more comfortable and viablealternative to invasive ventilation?