An evaluation of contracted palliative care home care services in Ontario, Canada

2001 ◽  
Vol 24 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Allison M. Williams ◽  
Michelle V. Caron ◽  
Maria McMillan ◽  
Anne Litkowich ◽  
Noreen Rutter ◽  
...  
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Care Home ◽  
Home Care Services ◽  
Care Services

scholarly journals PELAYANAN HOME CARE PADA PASIEN LANJUT USIA : LITERATURE REVIEW

2020 ◽  
Vol 11 (2) ◽  
pp. 216
Author(s):  
Razak Abdullah ◽  
Rosyidah Arafat ◽  
Syahrul Syahrul
Keyword(s):  
Home Care ◽  
Care Home ◽  
The Elderly ◽  
Home Care Services ◽  
Nursing Home Care ◽  
Google Scholar ◽  
Life Outcomes ◽  
Building Relationships ◽  
Care Services ◽  
Increasing Demand

Latar Belakang : Proses menua merupakan proses alami yang diikuti dengan terjadinya peurunan kondisi fisik, psikologis dan sosial yang saling berkaitan satu sama lain .Kondisi penurunan tersebut mempengaruhi kemampuan lanjut usia dalam melakukan aktifitas sehari – hari/ Activity daily livings yang memerlukan perhatian dan bantuan keluarga sehingga mengakibatkan permintaan untuk perawatan di rumah meningkat dengan cepat. Perawatan Home care menjadi arena perawtaan professional dan informal. Review ini bertujuan untuk mengetahui bagaimana pelayanan home care pada lanjut usia.Metode : Dalam mengumpulkan artikel menggunakan beberapa database Pubmed, Science Direct, Wiley, dan Google Scholar dengan strategi pencarian menggunakan metode PICO (population, intervention, comparison and outcome dengan batasan publikasi artikel dari tahun 2009-2019.Hasil : Hasil temuan diperoleh beberapa point yaitu perlunya perawat melakukan Analisis kehidupan lansia sebelum memberikan pelayanan home care, pelayanan tepat waktu, Ukuran pengalaman aspek interpersonal perawatan karena itu dapat menjadi indikator yang berguna dari hasil kualitas hidup, pentingnya partisipasi lanjut usia, berbagi sejarah dengan perawat dan lansia, terjaminnya privasi lansia, pemenuhan standar kebutuhan lansia, selanjutnya ada factor komunikasi, pembangunan hubungan perawat dan lanjut usia, kepercayaan, keamanan, perawat harus pandai dalam menilai kekahawatiran rasa depresi yang disembunyikan oleh lansia, dan siap dalam menerima perbadaan pandangan dalam hal perawatan home care dengan lansia. Kata kunci :  Home care, Lanjut Usia Abstract Background: The aging process is a natural process that is followed by a decline in physical, psychological and social conditions that are interrelated with each other. The condition of the decline affects the ability of the elderly in carrying out daily activities / Activity daily livings that require attention and assistance from family so resulting in a rapidly increasing demand for home care. Care Home care is an arena for professional and informal care. This review aims to determine the experience of nurses in providing home care services for the elderly.Method: Data was obtained from google scholar website database, Since direct and Proquest, and obtained 5 articles. The five articles were then carried out by the journal research critics using the appropriate CASP tools namely 5 articles with the Critical Appraisal of Qualitative Study.Results: The findings obtained by several points, namely Analysis of the lives of the elderly before giving home care services, timely services, measures of experience of interpersonal aspects of care because it can be a useful indicator of quality of life outcomes, the importance of elderly participation, sharing history with nurses and the elderly, ensuring privacy, fulfilling the standards of elderly needs, then there are factors of communication, building relationships between nurses and the elderly, trustworthiness, security, nurses must be clever in assessing the concerns of depression that are hidden by the elderly, and ready to accept improvements in terms of nursing home care with the elderly . Keywords: Experience, Nurse, Home care, Elderly

Simultaneous Care clinic (SCC): A three-year monoinstituional experience.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 169-169
Author(s):  
Silvia Stragliotto ◽  
Antonella Brunello ◽  
Sara Galuppo ◽  
Sabina Murgioni ◽  
Vincenzo Dadduzio ◽  
...  
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Median Time ◽  
Social Issues ◽  
Home Care Services ◽  
Cancer Type ◽  
Nutritional Evaluation ◽  
Care Clinic ◽  
Oncological Treatment ◽  
Care Services

169 Background: Early palliative care has been shown to improve outcomes in pts with advanced cancer. In accordance with ASCO and AIOM recommendations of implementing palliative care early for pts with metastatic cancer along with active cancer treatment a SCC was set up at Istituto Oncologico Veneto (IOV) in Padova since 2014; Methods: Data of pts referred to the SCC from Mar 2014 to Nov 2016 were retrieved from a prospectively maintained database. Data collected included cancer type, status of disease, PS, ongoing oncological treatment, psychological evaluation, social evaluation, nutritional evaluation, activation of home territorial services and/or Palliative Care services, use of other health services after a first visit and place of death; Results: 533 pts were evaluated by a multidisciplinary team. Overall symptom burden was low with baseline symptom scores highest for fatigue, lack of appetite and depression. Nutritional evaluation revealed 224 pts (42%) with nutritional problems, the most frequent being weight loss (n = 121). Psychological distress was present in 185 pts (35%). Social issues were present in 26 pts (5%) and were dealt with activation of social services (n = 9) or volunteer territorial services (n = 8). Patients deemed in need of home care services after the first access to the SCC were 177 (33%) and for these a formal request for Home Care services activation was sent to the Local Health Territorial Unit. After the first visit 141 patients referred to Emergency Room for intervening problems with median time of 41 days. Globally 290 pts (54%) died with 53% of deaths occurring at home. For pts who were receiving active oncological treatment median time from first-visit in the SCC and death was 126 days. We are also evaluating a score for priority for access to SCC; Conclusions: Early integrated SC may be most effective if targeted to the specific needs of each patient population

Active identification of patients appropriate for palliative care: Impact on use of palliative care and home care resources.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 101-101
Author(s):  
Nicole Mittmann ◽  
Ning Liu ◽  
Marnie MacKinnon ◽  
Soo Jin Seung ◽  
Nicole Look Hong ◽  
...  
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Service Use ◽  
Intervention Group ◽  
Home Care Services ◽  
Control Group ◽  
Palliative Approach ◽  
Active Identification ◽  
Care Services ◽  
Primary Care Teams

101 Background: This research evaluates whether active identification of patients who may benefit from a palliative approach to care changes the use of palliative care and home care services. Methods: Between 2014 and 2017, Cancer Care Ontario implemented the INTEGRATE project at 4 cancer centres and 4 primary care teams. Physicians in participating sites were encouraged to systematically identify patients who were likely to die within 1 year and would benefit from a palliative approach to care. Patients in the INTEGRATE intervention group were 1:1 matched to non-intervention controls selected from provincial healthcare administrative data based on a publicly funded health system using the propensity score-matching. Palliative care and home care services utilization was evaluated within 1 year after the date of identification (index date), censoring on death, or March 31, 2017, the study end date. Cumulative incidence function was used to estimate the probability of having used care services, with death as a competing event. Rate of service use per 360 patient-days was calculated. Analyses were done separately for palliative care and home care. Results: Of the 1,187 patients in the INTEGRATE project, 1,185 were matched to a control. The intervention and the control groups were well-balanced on demographics, diagnosis, comorbidities, and death status. The probability of using palliative services in the intervention group was 80.3%, which was significantly higher than that in the control group (62.4%) with more palliative care visits in the intervention group [29.7 (95%CI: 29.4 to 30.1] per 360 patient-days) than in the control group [19.6 (95%CI: 19.3 to 19.9) per 360 patient-days]. The intervention group had a greater probability of receiving home care (81.4%) than the control group (55.2%) with more homecare visits per 360 patient-days [64.7 (95%CI: 64.2 to 65.3) vs. 35.3 (95%CI: 34.9 to 35.7)] The intervention group also had higher physician home visits as compared to the control group (36.5% vs. 23.7%). Conclusions: Physicians actively identifying patients that would benefit from palliative care resulted in increased use of palliative care and home care services.

Impact of an Oncology Palliative Care Clinic on Access to Home Care Services

2012 ◽  
Vol 30 (5) ◽  
pp. 425-431 ◽  
Author(s):  
Raymond W. Jang ◽  
Debika Burman ◽  
Nadia Swami ◽  
Jennifer Kotler ◽  
Subrata Banerjee ◽  
...  
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Home Care Services ◽  
Care Clinic ◽  
Care Services

scholarly journals PROTAGONISMO DO ENFERMEIRO EM SERVIÇOS DE ASSISTÊNCIA DOMICILIAR – HOME CARE

2016 ◽  
Vol 7 (1) ◽  
pp. 66-70
Author(s):  
Amanda De Lemos Mello ◽  
Dirce Stein Backes ◽  
Luiza Watanabe Dal Ben
Keyword(s):  
Home Care ◽  
Nursing Care ◽  
Care Home ◽  
Home Care Services ◽  
Sao Paulo ◽  
São Paulo ◽  
Care Services ◽  
Care Assistance ◽  
Care Company

Objetivo: o estudo buscou identificar as atividades desenvolvidas pelo enfermeiro durante a internação domiciliar de pacientes com assistência de Enfermagem 24 horas por dia. Metodologia: a pesquisa é documental e retrospectiva e foi realizada em uma empresa de assistência domiciliar do município de São Paulo. A coleta de dados foi realizada em 25 prontuários de pacientes, que foram classificadas e analisadas de acordo com a Resolução Nº 267/2001. Resultados: evidencia-se a importância do enfermeiro frente à assistência domiciliar nas funções assistencial, administrativa e educacional. Conclusão: o enfermeiro vem ocupando, crescentemente o protagonismo do gerenciamento do cuidado domiciliar por meio de ações integradas e planejadas.Descritores: Cuidados de enfermagem, Serviços de assistência domiciliar, Papel do profissional de enfermagem.The nurse’s importance in home care assistanceObjective: The study aim to identify the activities performed by nurses during home care of patients with nursing care 24 hours a day. Method: documentary research retrospective, held in a home care company in São Paulo. Data were collected in 25 charts of patients, which were classified and analyzed according to Resolution No. 267/2001. Results: highlights the importance of nurses in front of home care assistance, administrative and educational functions. Conclusion: the nurse occupies, increasingly, the protagonist in different spaces, e care, by means of systematic and integrated action to team in the execution and planning of the therapeutic process.Descriptors: Nursing care, Home care services, Nurse’s role.El papel del enfermero en los servicios de atención domiciliaria – Home CareObjetivo: el estudio trata de identificar las actividades realizadas por las enfermeras en la atención domiciliaria de los pacientes con la atención de enfermería las 24 horas del día. Método: investigación documental y retrospectivo, realizado en una empresa de atención domiciliaria en São Paulo. Los datos fueron obtenidos a en25 expedientes de pacientes, que fueran clasificadas y analizadas de acuerdo con la Resolución N ° 267/2001. Resultados: se destaca la importancia de las enfermeras frente a la asistencia de atención domiciliaria, administrativa y funciones educativas. Conclusión: la enfermera ocupa, cada vez más, el protagonista en diferentes espacios, especialmente en los cuidados en el hogar, a través de actividades integrado y planificación.Descriptores: Atención de Enfermería, Servicios de Atención de Salud a Domicilio, Rol de la Enfermera.

scholarly journals Community Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study

2021 ◽  
Vol 18 (22) ◽  
pp. 11838
Author(s):  
Chien-Yi Wu ◽  
Yu-Hsuan Wu ◽  
Yi-Hui Chang ◽  
Min-Shiow Tsay ◽  
Hung-Cheng Chen ◽  
...  
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Critical Role ◽  
Home Care Services ◽  
Structured Interviews ◽  
Community Based ◽  
Palliative Home Care ◽  
Care Services ◽  
Leading Role ◽  
Study Results

Hospitals have played a leading role in providing palliative care in Taiwan as its care model has developed over the past few decades. However, earlier local studies in Taiwan showed that terminal patients prefer to die at home, highlighting the need to promote community-based palliative care instead of hospital-based care. Along with this shift, how community nurses provide palliative home care merits further exploration. This qualitative descriptive study aims to understand (1) how community nurses implement community-based palliative care, (2) what preparations are needed, and (3) what challenges they may face. Purposive sampling was used for recruiting nurses. We conducted one-on-one, in-depth, semi-structured interviews. Interview recordings were transcribed verbatim and analyzed using thematic analysis. Eight community nurses with a range of experience in palliative home care were interviewed. Four major themes emerged: (1) Opportunities, (2) Qualifications, (3) Support, and (4) Commitments. Psychological preparedness, well-developed professional capabilities, external assistance, and peer support motivate community nurses to offer community-based palliative care. As the requests for palliative home care services increase, community nurses play a critical role in palliative home care. Although the sample size is small and the findings retrieved from a small number of experiences might not be generalized to every region, the study results could inform future experience-sharing and workshop sessions to train more nurses for community-based care, expanding service coverage, and providing optimal palliative care.

scholarly journals Sinais e sintomas manifestados por pacientes em cuidados paliativos oncológicos na assistência domiciliar: uma revisão integrativa

2021 ◽  
Vol 25 (4) ◽  
Author(s):  
Nair Caroline Cavalcanti de Mendonça Bittencourt ◽  
Karoliny Alves Santos ◽  
Maria Gefé da Rosa Mesquita ◽  
Vanessa Gomes da Silva ◽  
Audrei Castro Telles ◽  
...  
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Signs And Symptoms ◽  
Home Care Services ◽  
Care Services

Resumo Objetivo identificar os principais sinais e sintomas manifestados por pacientes em cuidados paliativos oncológicos na assistência domiciliar. Método revisão integrativa nas bases LILACS, MEDLINE e CINAHL em janeiro de 2020. Perguntou-se: “Quais os principais sinais e sintomas manifestados por pacientes em cuidados paliativos oncológicos destacados nos estudos abrangendo o contexto do domicílio?”. Foram descritores/termos: Sinais e Sintomas/Signs and Symptoms; Assistência Domiciliar/Home Care Services; Cuidados Paliativos/Palliative Care e Neoplasias/Neoplasms. Elencaram-se como critérios de elegibilidade: texto completo; entre 2015 e 2019; em inglês, português ou espanhol e idade adulta. Para o mapeamento dos dados, consideraram-se: título; país; ano; objetivo; método; sinais e sintomas. Os resultados foram categorizados em subgrupos, considerando a classificação conceitual predeterminada (sinal e sintoma). O elemento contagem facilitou a análise e a comparação de dados. Resultados foram selecionados 35 artigos, sendo identificados 25 sinais e 23 sintomas. Os mais frequentes foram: dor, náusea/vômito, dispneia, fadiga, depressão, ansiedade, constipação, perda de apetite, sonolência, bem-estar e insônia. A maioria (39) relacionou-se ao domínio físico. Conclusão a identificação dos principais sinais e sintomas, neste contexto, direciona a prática dos profissionais de saúde para as intervenções mais adequadas e o mais precocemente possível, contribuindo para viabilizar a assistência domiciliar, e alerta para a necessidade de educação permanente sobre este tema.

Preplanned participation of paramedics in end-of-life care at home: A retrospective cohort study

2020 ◽  
pp. 026921632098171
Author(s):  
Leena K Surakka ◽  
Minna M Peake ◽  
Minna M Kiljunen ◽  
Pekka Mäntyselkä ◽  
Juho T Lehto
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Home Care Services ◽  
Life Care ◽  
Care Services ◽  
Care At Home ◽  
Care Ward ◽  
At Home

Background: Paramedics commonly face acute crises of patients in palliative care, but their involvement in end-of-life care is not planned systematically. Aim: To evaluate a protocol for end-of-life care at home including pre-planned integration of paramedics and end-of-life care wards. Design: Paramedic visits to patients in end-of-life care protocol were retrospectively studied. Setting/Participants: All of the patients who had registered for the protocol between 1 March 2015 and 28 February 2017 in North Karelia, Finland, were included in this study. Results: A total of 256 patients were registered for the protocol and 306 visits by paramedic were needed. A need for symptom control (38%) and transportation (29%) were the most common reasons for a visit. Paramedics visited 43% and 70% of the patients in areas with and without 24/7 palliative home care services, respectively ( p < 0.001); while 58% of all the visits were done outside of office hours. Problems were resolved at home in 31% of the visits. The patient was transferred to a pre-planned end-of-life care ward and to an emergency department in 48% and 16% of the cases, respectively. More patients died in end-of-life care wards in areas without (54%) than with (33%) 24/7 home care services ( p = 0.001). Conclusions: Integration of paramedics into end-of-life care at home is reasonable especially in rural areas without 24/7 palliative care services and outside of office hours. The majority of patients can be managed at home or with the help of an end-of-life care ward without an emergency visit.

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