Feature ArticlesEvaluating the FRAIL Questionnaire as a Trigger for Palliative Care Consultation After Acute StrokeKeiser, Megan DNP, RN, CNRN, SCRN, CHSE, ACNS-BC, NP-C; Buterakos, Roxanne DNP, RN, PCP-BC, AG-ACNP-BC; Stutzky, Haley DNP, RN, CCRN; Moran, Laura DNP, RN, CCRN; Hewelt, Dawn DNP, RN, CCRN Author Information Megan Keiser, DNP, RN, CNRN, SCRN, CHSE, ACNS-BC, NP-C, is director of Undergraduate Nursing Affairs and associate professor, University of Michigan-Flint School of Nursing. Roxanne Buterakos, DNP, RN, PCP-BC, AG-ACNP-BC, is associate professor, University of Michigan-Flint School of Nursing. Haley Stutzky, DNP, RN, CCRN, is doctor of nursing practice, University of Michigan-Flint School of Nursing. Laura Moran, DNP, RN, CCRN, is doctor of nursing practice, University of Michigan-Flint School of Nursing. Dawn Hewelt, DNP, RN, CCRN, is doctor of nursing practice, University of Michigan-Flint School of Nursing. Address correspondence to Megan Keiser, DNP, RN, CNRN, SCRN, CHSE, ACNS-BC, NP-C, University of Michigan-Flint School of Nursing, 303 E Kearsley St, 2180 William S. White Building, Flint, MI 48502-1950 ([email protected]). The authors have no conflicts of interest to disclose. Journal of Hospice & Palliative Nursing 25(3):p 124-128, June 2023. | DOI: 10.1097/NJH.0000000000000940 Buy Metrics Abstract The American Heart Association and the American Stroke Association jointly released guidelines stating that all patients with a new diagnosis of stroke should receive palliative care consultation starting in the acute phase of care. The purpose of this project was to increase palliative care consultation rates for patients after an acute stroke by using a frailty score to trigger a palliative care consult. Provider education on palliative care and a 5-question fatigue, resistance, ambulation, illnesses, and loss of weight (FRAIL) questionnaire was delivered by a presentation, handouts, and a follow-up email using previously developed content. Patients included adults admitted to the neuroscience critical care unit of a Midwestern comprehensive stroke center with an admission diagnosis of acute stroke (n = 120). The charge nurse completed the FRAIL questionnaire as a screening tool to trigger a palliative care consult. A survey was also distributed to providers (n = 54) to understand their knowledge, thoughts, and feelings toward palliative care. There was an increase in patients who received palliative care consultation from 14.9% to 21.7% after implementation of the FRAIL questionnaire. Also, providers felt better able to provide symptom management to patients after acute stroke. Further research is necessary to determine if the FRAIL survey is an adequate trigger for palliative care consultation. Copyright © 2023 by The Hospice and Palliative Nurses Association. All rights reserved.