Comfort in the last 2 weeks of life: relationship to accessing palliative care services.
Introduction: Specialised palliative care services (SPCS) aim to address the needs of patients and caregivers confronting life-limiting illnesses but only half of the potential cohort are referred. Randomised controlled trials of SPCS provision can no longer be ethically justified so there is a need...
| Publicado en: | Supportive Care in Cancer Vol. 16; no. 11; pp. 1255 - 1264 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Nov2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105617764&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105617764 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Nov2008 vid: 16 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105617764 34614116 NLM18335259 2010158608 10.1007/s00520-008-0424-2 NLM18335259 105617764 ppf: 1255 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Comfort in the last 2 weeks of life: relationship to accessing palliative care services. aug: au: Currow DC Ward AM Plummer JL Bruera E Abernethy AP Currow, David C Ward, Alicia M Plummer, John L Bruera, Eduardo Abernethy, Amy P affil: Department of Palliative and Supportive Services, Flinders University, Daw Park, Adelaide, South Australia sug: subj: Adaptation, Psychological Health Services Accessibility Palliative Care Methods Quality of Health Care Confidence Intervals Cross Sectional Studies Logistic Regression Male Odds Ratio Pilot Studies Questionnaires South Australia Human Male ab: Introduction: Specialised palliative care services (SPCS) aim to address the needs of patients and caregivers confronting life-limiting illnesses but only half of the potential cohort are referred. Randomised controlled trials of SPCS provision can no longer be ethically justified so there is a need to develop new methods to evaluate the net impact of SPCS for the whole community, not just for those who access SPCS. The aim of this study was to assess whether perceived comfort in the last 2 weeks of life was associated with accessing SPCS.Methods: This study utilised a whole-of-population random survey (n = 4,366) in South Australia. A total of 802 respondents had someone close to them die within the last 5 years due to a terminal illness, and they had the complete data. A subsequent question was asked whether SPCS had been accessed. Perceived comfort levels for those who had used SPCS were compared with those who did not by using stereotype logistic regression, weighted to a standardised population.Results: Higher levels of comfort of the deceased having been assessed 'very comfortable' was associated with the use of SPCS (p = 0.04; odds ratio, 1.78; 95% confidence interval, 1.02-3.08). For people who accessed SPCS, 13.3% were reported as 'very comfortable' compared with 8.0% without SPCS. Almost one half of respondents (48.4%) reported that the deceased was considered 'uncomfortable' or 'very uncomfortable', irrespective of SPCS access.Discussion: While this study provides further incremental evidence of benefit from access to SPCS, there is much that still needs to be done to improve care for the whole community at the end of life. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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