Medication chart review at end of life of paediatric palliative patients

2021 ◽  
Author(s):  
Jie Er Janice Soo ◽  
Mei Yoke Chan ◽  
Noor Aisah Bee Bte Adb Rashid ◽  
Lilis Irwani Bte Mohamad Yusri ◽  
Yi Yi Wynn ◽  
...  
Keyword(s):  
End Of Life ◽  
Chart Review ◽  
Medication Chart ◽  
Palliative Patients

scholarly journals Effects of dignity therapy on palliative patients’ family members: A systematic review

2021 ◽  
pp. 1-10
Author(s):  
Leonor Grijó ◽  
Carolina Tojal ◽  
Francisca Rego
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
End Of Life ◽  
Meaning In Life ◽  
Family Members ◽  
Cochrane Library ◽  
Publication Date ◽  
Dignity Therapy ◽  
Bibliographic Search ◽  
Palliative Patients

Abstract Objective Dignity therapy (DT) is a kind of psychotherapy that identifies the main concerns of end-of-life patients that affect their perception of dignity and helps them to find a new meaning in life. Most prior studies on DT analyze outcomes for palliative care patients. The aim of this systematic review is to explore the outcomes of DT in palliative care patients’ family members. Method In June 2020, a bibliographic search was performed using the terms “Dignity Therapy” and “Palliative Care” in the following databases: Cochrane library, TRIP database, PUBMED, Scopus, and Web of Knowledge. Of the 294 articles found, 8 met the selection criteria and were considered in the present study. No articles were excluded based on their publication date. Results Family members generally believe that DT helps them to better prepare the patient's end-of-life and overcome the bereavement phase. The legacy document was considered a source of comfort, and most would recommend DT to other people in their situation. DT is generally considered as important as any other aspect of the patient's treatment. Significance of results There is evidence of the benefits of DT for palliative patients’ family members. However, there are still few studies that evaluate these outcomes. The existing evidence is poorly generalized, and thus, further studies are needed to deeply explore the benefits of this therapy both for patients and their families.

scholarly journals Patterns of paediatric end-of-life care: a chart review across different care settings in Switzerland

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Karin Zimmermann ◽  
◽  
Eva Cignacco ◽  
Sandra Engberg ◽  
Anne-Sylvie Ramelet ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Chart Review ◽  
Life Care

scholarly journals NP-012 Standardisation of analgesia and sedation infusion solutions in paediatric palliative patients receiving end-of-life care at home

2019 ◽  
Author(s):  
B Garcia-Palop B ◽  
A Morgenstern Isaak ◽  
C Cuso Cuquerella ◽  
I Jimenez Lozano ◽  
A Fernandez-Polo A ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Care At Home ◽  
Palliative Patients ◽  
Sedation Infusion ◽  
At Home

P-108 Do family members of palliative patients want to talk different about end of life decisions?

2015 ◽  
Vol 5 (Suppl 2) ◽  
pp. A77.2-A77
Author(s):  
Benjamin Wagner ◽  
J Riera Knorrenschild ◽  
M Hofmann ◽  
U Seifart ◽  
Carola Seifart
Keyword(s):  
End Of Life ◽  
Family Members ◽  
End Of Life Decisions ◽  
Life Decisions ◽  
Palliative Patients

scholarly journals Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Amy J. Thurston ◽  
Donna M. Wilson ◽  
Jessica A. Hewitt
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Chart Review ◽  
Life Care ◽  
Canadian Study ◽  
Care Needs ◽  
Common Diagnosis ◽  
Impending Death ◽  
Care Practices ◽  
End Stage

A descriptive-comparative study was undertaken to examine current end-of-life care needs and practices in hospital. A chart review for all 1,018 persons who died from August 1, 2008 through July 31, 2009 in two full-service Canadian hospitals was conducted. Most decedents were elderly (73.8%) and urbanite (79.5%), and cancer was the most common diagnosis (36.2%). Only 13.8% had CPR performed at some point during this hospitalization and 8.8% had CPR immediately preceding death, with 87.5% having a DNR order and 30.8% providing an advance directive. Most (97.3%) had one or more life-sustaining technologies in use at the time of death. These figures indicate, when compared to those in a similar mid-1990s Canadian study, that impending death is more often openly recognized and addressed. Technologies continue to be routinely but controversially used. The increased rate of end-stage CPR from 2.9% to 8.8% could reflect a 1994+ shift of expected deaths out of hospital.

When 'home' means another nation: The power and pitfalls of repatriation at the end of life from a tertiary cancer centre.

2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 46-46
Author(s):  
Ros Taylor
Keyword(s):  
End Of Life ◽  
Chart Review ◽  
Community Setting ◽  
Retrospective Chart Review ◽  
Metabolic Effects ◽  
Loved One ◽  
Cancer Centre ◽  
Windows Of Opportunity ◽  
Knowledge Deficit

46 Background: How people die lives on in the memory of those who survive. It is therefore pivotal for palliative teams to help craft an ending in line with patient and family goals. It has been observed in a tertiary cancer centre that there is often a spiritual imperative for patients to return to their nation of birth, once treatment is stopped and mortality accepted. Methods: Retrospective chart review of 3 patients repatriated for end of life care to their nation of birth (Romania, Portugal, Ireland), focusing on: the conversations about the goal of repatriation and its meaning to the patient; the practical barriers and enablers of repatriation of patients with advanced cancer. Follow-up interview with bereaved families to establish impact of repatriation. Results: Chart review revealed multi-layered hesitant conversations, often facilitated by the palliative care team, to establish that getting ‘home’ meant returning to the country of birth. This became an overarching pre-occupation for the patient, family and team. Patients were not concerned whether they were transferred to a hospital, hospice or family home – it was the country that mattered. There was huge anxiety and little objectivity about fitness to travel. Nurses were more anxious than doctors. Patient and family expressed least anxiety. There was a knowledge deficit regarding fitness to fly, whether an escort was needed, the respiratory and metabolic effects of flight, and how to maximize wellbeing on the journey. Reassurance was gained if the transfer was to a hospital, with greater concern if the transfer was to a community setting. Follow-up interviews with bereaved families are still in progress. Initial findings suggest no regrets in terms of the decision to fly home, and that self-esteem improved with familiarity and social connection. Conclusions: The practical anxieties of health professionals often act as delays to repatriation at the end of life. Checklists to facilitate these journeys would ensure that the process does not need to be learnt each time, and that windows of opportunity are not missed. Achievement of spiritual goals for a loved one is hugely important to those who live on.

Administration of Comfort Medication at End of Life in Neonates: Effects of Weight

2008 ◽  
Vol 27 (4) ◽  
pp. 223-227 ◽  
Author(s):  
Angela Lee Matthews ◽  
Susan O’Conner-Von
Keyword(s):  
End Of Life ◽  
Chart Review ◽  
Ventilatory Support ◽  
Retrospective Chart Review ◽  
Time Frame ◽  
To Receive

Purpose: To examine whether a relationship exists between a neonate’s weight and the neonate’s receipt of comfort medication between four hours prior to elective ventilator withdrawal and death. It was hypothesized that the greater the neonate’s weight, the more likely the neonate was to receive comfort medication at end of life.Design: A retrospective chart review.Sample: One hundred seventy-one neonates in a midwestern Level III NICU who died after withdrawal of ventilatory support.Results: Of the 171 neonates in the sample, 27.5 percent (n = 47) did not receive comfort medication within the designated time frame; neonates who weighed <800 g were significantly less likely to receive comfort medication than were their heavier cohorts.Conclusion: In this sample, smaller neonates were given comfort medication less often while they were dying than were their larger counterparts.

scholarly journals The Effect of Rapid Response Teams on End-of-Life Care: A Retrospective Chart Review

2014 ◽  
Vol 21 (5) ◽  
pp. 302-306 ◽  
Author(s):  
Benjamin Tam ◽  
Mary Salib ◽  
Alison Fox-Robichaud
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Rapid Response ◽  
Rapid Response Teams ◽  
Term Care ◽  
Palliative Care Services ◽  
Eol Care ◽  
The Impact

BACKGROUND: A subset of critically ill patients have end-of-life (EOL) goals that are unclear. Rapid response teams (RRTs) may aid in the identification of these patients and the delivery of their EOL care.OBJECTIVES: To characterize the impact of RRT discussion on EOL care, and to examine how a preprinted order (PPO) set for EOL care influenced EOL discussions and outcomes.METHODS: A single-centre retrospective chart review of all RRT calls (January 2009 to December 2010) was performed. The effect of RRT EOL discussions and the effect of a hospital-wide PPO set on EOL care was examined. Charts were from the Ontario Ministry of Health and Long-Term Care Critical Care Information Systemic database, and were interrogated by two reviewers.RESULTS: In patients whose EOL status changed following RRT EOL discussion, there were fewer intensive care unit (ICU) transfers (8.4% versus 17%; P<0.001), decreased ICU length of stay (5.8 days versus 20 days; P=0.08), increased palliative care consultations (34% versus 5.3%; P<0.001) and an increased proportion who died within 24 h of consultation (25% versus 8.3%; P<0.001). More patients experienced a change in EOL status following the introduction of an EOL PPO, from 20% (before) to 31% (after) (P<0.05).CONCLUSIONS: A change in EOL status following RRT-led EOL discussion was associated with reduced ICU transfers and enhanced access to palliative care services. Further study is required to identify and deconstruct barriers impairing timely and appropriate EOL discussions.

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