Comparison of the prevalence and associated factors of hyperactive delirium in advanced cancer patients between inpatient palliative care and palliative home care

Abstract Background: To support the early integration of palliative home care (PHC) in cancer treatment, we developed the EPHECT intervention and pilot tested it with 30 advanced cancer patients in Belgium using a pre post design with no control group. We aim to determine the feasibility, acceptability and perceived effectiveness of the EPHECT intervention.Methods: Interviews with patients (n=16 of which 11 dyadic with family caregivers), oncologists and GPs (n=11) and a focus group with the PHC team. We further analyzed the study materials and logbooks of the PHC team (n=8). Preliminary effectiveness was assessed with questionnaires EORTC QLQ C-30, HADS and FAMCARE and were filled in at baseline and 12, 18 and 24 weeks.Results: In the interviews after the intervention period, patients reported feelings of safety and control and an optimized quality of life. The PHC team could focus on more than symptom management because they were introduced earlier in the trajectory of the patient. Telephone-based contact appeared to be insufficient to support interprofessional collaboration. Furthermore, some family caregivers reported that the nurse of the PHC team was focused little on them.Conclusion: Nurses of PHC teams are able to deliver early palliative care to advanced cancer patients. However, more attention needs to be given to family caregivers as caregiver and client. Furthermore, the home visits by the PHC team have to be further evaluated and adapted. Lastly, professionals have to find a more efficient way to discuss future care.

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Barriers for the Early Integration of Palliative Home Care Into the Disease Trajectory of Advanced Cancer Patients: A Focus Group Study with Palliative Home Care Teams

Journal of Pain and Symptom Management ◽

10.1016/j.jpainsymman.2018.10.017 ◽

2018 ◽

Vol 56 (6) ◽

pp. e25-e26

Author(s):

Naomi Dhollander ◽

Aline De Vleminck ◽

Lenzo Robijn ◽

Luc Deliens ◽

Simon Van Belle ◽

...

Keyword(s):

Focus Group ◽

Home Care ◽

Cancer Patients ◽

Advanced Cancer ◽

Advanced Cancer Patients ◽

Focus Group Study ◽

Palliative Home Care ◽

Early Integration ◽

Disease Trajectory

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Home care for advanced cancer: Results and challenges

Archive of oncology ◽

10.2298/aoo1003079p ◽

2010 ◽

Vol 18 (3) ◽

pp. 79-83 ◽

Cited By ~ 1

Author(s):

Franco Pannuti ◽

Francesco Pannuti ◽

Stephan Tanneberger

Keyword(s):

Palliative Care ◽

Home Care ◽

Cancer Patients ◽

Advanced Cancer ◽

21St Century ◽

Advanced Cancer Patients ◽

Human Right ◽

Health Technologies ◽

Reasonable Approach ◽

The One

The majority of palliative care patients prefer home care and 70% of terminal cancer patients want to die at home. Only a well-organized network of specialized oncology, home care and hospices/palliative care units can guarantee the fundamental human right of advanced cancer patients to live and die with dignity, what we call Eubiosia. We consider the Bologna Eubiosia Project initiated by ANT in 1985 and supported by numerous political, religious and private bodies independent from their political color, as an example of successful fighting against human suffering. However, there is no doubt that Eubiosia has to be realized at the beginning of the 21st century in a way, different from the one of 30 years ago. Globalization and demographic changes create needs for new approaches. Telecare is a reasonable approach to overcome existing problems. ANT has started the first steps to preserve our moral values in a rapidly developing world by using new highly sophisticated health technologies. We believe that Techno-Eubiosia is a new challenge for caregivers and for the producers of medical devices in the 21st century.

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Is early integration of palliative home care in oncology treatment feasible and acceptable for advanced cancer patients and their health care providers? A phase 2 mixed-methods study.

10.21203/rs.3.rs-18452/v3 ◽

2020 ◽

Author(s):

Naomi Dhollander ◽

Tinne Smets ◽

Aline De Vleminck ◽

Lore Lapeire ◽

Koen Pardon ◽

...

Keyword(s):

Home Care ◽

Cancer Patients ◽

Family Caregivers ◽

Advanced Cancer ◽

Health Care Providers ◽

Control Group ◽

Care Providers ◽

Advanced Cancer Patients ◽

Palliative Home Care ◽

Early Integration

Abstract Background: To support the early integration of palliative home care (PHC) in cancer treatment, we developed the EPHECT intervention and pilot tested it with 30 advanced cancer patients in Belgium using a pre post design with no control group. We aim to determine the feasibility, acceptability and perceived effectiveness of the EPHECT intervention. Methods: Interviews with patients (n=16 of which 11 dyadic with family caregivers), oncologists and GPs (n=11) and a focus group with the PHC team. We further analyzed the study materials and logbooks of the PHC team (n=8). Preliminary effectiveness was assessed with questionnaires EORTC QLQ C-30, HADS and FAMCARE and were filled in at baseline and 12, 18 and 24 weeks. Results: In the interviews after the intervention period, patients reported feelings of safety and control and an optimized quality of life. The PHC team could focus on more than symptom management because they were introduced earlier in the trajectory of the patient. Telephone-based contact appeared to be insufficient to support interprofessional collaboration. Furthermore, some family caregivers reported that the nurse of the PHC team was focused little on them. Conclusion: Nurses of PHC teams are able to deliver early palliative care to advanced cancer patients. However, more attention needs to be given to family caregivers as caregiver and client. Furthermore, the home visits by the PHC team have to be further evaluated and adapted. Lastly, professionals have to find a more efficient way to discuss future care.

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Is early integration of palliative home care in oncology treatment feasible and acceptable for advanced cancer patients and their health care providers? A phase 2 mixed-methods study.

10.21203/rs.3.rs-18452/v1 ◽

2020 ◽

Author(s):

Naomi Dhollander ◽

Tinne Smets ◽

Aline De Vleminck ◽

Lore Lapeire ◽

Koen Pardon ◽

...

Keyword(s):

Home Care ◽

Cancer Patients ◽

Family Caregivers ◽

Advanced Cancer ◽

Health Care Providers ◽

Care Providers ◽

Advanced Cancer Patients ◽

Palliative Home Care ◽

Early Integration ◽

Patient Reported

Abstract Background To support the early integration of palliative home care (PHC) in cancer treatment, we developed the EPHECT intervention and pilot tested it with 32 advanced cancer patients in Belgium using a pre post design. We aim to determine the feasibility, acceptability and perceived effectiveness of the EPHECT intervention. Methods Interviews with patients (n = 16 of which 11 dyadic with family caregivers), oncologists and GPs (n = 11) and a focus group with the PHC team. We further analyzed the study materials and logbooks of the PHC team. Preliminary effectiveness was assessed with questionnaires EORTC QLQ C-30, HADS and FAMCARE and were filled in at baseline and 12, 18 and 24 weeks. Results Patient reported feelings of safety and control and an optimized quality of life. Being introduced earlier opened space for the PHC team to focus on more than symptom management. Telephone-based contact appeared to be insufficient to support interprofessional collaboration. Furthermore, some family caregivers reported that the nurse of the PHC team was focused little on them. Conclusion Nurses of PHC teams are able to deliver early palliative care to advanced cancer patients. However, more attention needs to be given to family caregivers as caregiver and client. Furthermore, the home visits by the PHC team have to be further evaluated and adapted. Lastly, professionals have to find a more efficient way to discuss future care.

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Is early integration of palliative home care in oncology treatment feasible and acceptable for advanced cancer patients and their health care providers? A phase 2 mixed-methods study

BMC Palliative Care ◽

10.1186/s12904-020-00673-3 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Naomi Dhollander ◽

Tinne Smets ◽

Aline De Vleminck ◽

Lore Lapeire ◽

Koen Pardon ◽

...

Keyword(s):

Home Care ◽

Cancer Patients ◽

Family Caregivers ◽

Advanced Cancer ◽

Health Care Providers ◽

Control Group ◽

Care Providers ◽

Advanced Cancer Patients ◽

Palliative Home Care ◽

Early Integration

Abstract Background To support the early integration of palliative home care (PHC) in cancer treatment, we developed the EPHECT intervention and pilot tested it with 30 advanced cancer patients in Belgium using a pre post design with no control group. We aim to determine the feasibility, acceptability and perceived effectiveness of the EPHECT intervention. Methods Interviews with patients (n = 16 of which 11 dyadic with family caregivers), oncologists and GPs (n = 11) and a focus group with the PHC team. We further analyzed the study materials and logbooks of the PHC team (n = 8). Preliminary effectiveness was assessed with questionnaires EORTC QLQ C-30, HADS and FAMCARE and were filled in at baseline and 12, 18 and 24 weeks. Results In the interviews after the intervention period, patients reported feelings of safety and control and an optimized quality of life. The PHC team could focus on more than symptom management because they were introduced earlier in the trajectory of the patient. Telephone-based contact appeared to be insufficient to support interprofessional collaboration. Furthermore, some family caregivers reported that the nurse of the PHC team was focused little on them. Conclusion Nurses of PHC teams are able to deliver early palliative care to advanced cancer patients. However, more attention needs to be given to family caregivers as caregiver and client. Furthermore, the home visits by the PHC team have to be further evaluated and adapted. Lastly, professionals have to find a more efficient way to discuss future care.

Download Full-text