Factors Associated With the Location of Expected Pediatric Deaths in the Palliative Care Context

2020 ◽  
pp. 003022282095994
Author(s):  
Sandra Coombs ◽  
Phillip Aouad ◽  
Tiina Jaaniste

Early planning and knowing which factors to consider when planning the location of death (LOD) of a palliative child, may help minimize the burden of hasty decision-making in the future, and may provide families with a sense of control. The current paper reviewed which factors were associated with pediatric LOD and further considered some emerging factors that should are important to better facilitate integrative planning. Three overarching areas of consideration related to pediatric LOD planning were identified including health service factors, familial factors and patient factors. Multiple sub-factor considerations are presented. Further, the paper presents a conceptual model of the factors found to be related to pediatric LOD planning. The limitations that exist with rigorously and empirically studying pediatric LOD preferences are apparent from the dearth of knowledge seen in the field. However, future studies should continue to examine such factors more closely to better understand the nuanced implications.

Author(s):  
Tiffany Shaw ◽  
Eric Prommer

Delirium is a frequent event in patients with advanced cancer. Untreated delirium affects assessment of symptoms, impairs communication including participation in clinical decision-making. This study used specific diagnostic criteria for delirium and prospectively identified precipitating causes of delirium. The study identified factors associated with reversible and irreversible delirium. Impact of delirium on prognosis was evaluated. This chapter describes the basics of the study, including funding, year study began, year study was published, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary and discusses implications, and concludes with a relevant clinical case. Topics covered include delirium, neoplasms, palliative care, polypharmacy, risk factors, and therapeutics.


2020 ◽  
Vol 67 (9) ◽  
Author(s):  
Marta Zapata‐Tarrés ◽  
Elizabeth González‐Domínguez ◽  
Svetlana V. Doubova ◽  
Nadia Menendez‐Auld ◽  
Cynthia Shanat Cruz‐Medina ◽  
...  

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A1637
Author(s):  
Eduardo Nunez ◽  
Tanner Caverly ◽  
Sanqian Zhang ◽  
Mark Glickman ◽  
Shirley Qian ◽  
...  

2005 ◽  
Vol 3 (2) ◽  
pp. 115-119 ◽  
Author(s):  
ANDRÉA YAMAGUCHI KURASHIMA ◽  
MARIA DO ROSÁRIO DIAS LATORRE ◽  
SILVIA APARECIDA DE PAIVA TEIXEIRA ◽  
BEATRIZ DE CAMARGO

Objective:The aim of this study was to identify factors associated with location of death of patients receiving palliative care in a pediatric oncology unit.Methods:A palliative care program was developed in the pediatric department in order to provide specialized attention to the patient and family in end-of-life. The program is coordinated by a nurse, delivering a simultaneous interdisciplinary team approach with focus on identification and training of a family care provider as well as local resources supplemented by support of a social worker and the community. All 87 patients in palliative care were followed by the team. The factors associated with the location of death (home or hospital) were evaluated for the 71 patients who died prior to analysis.Results: Forty-two (59%) patients died at home. Factors significantly associated with dying at home were: male with an Odds Ratio (OR) = 3.80, 95% Confidence Interval (CI) = 1.26–11.76; public health insurance (OR) = 4.95, 95%[CI] = 1.03–26.75, low educational level of the caregiver (OR) = 11.11 95%[CI] = 1.65–94.66 and low educational level of the mother (OR) = 7.07 95%[CI] = 1.37–40.14. Gender was the only independent factor associated with location of death: a boy had a higher risk of dying at home, (OR) = 4.25, 95%[CI] = 1.37–13.21 when compared to a girl.Significance of results:In our society we are still not able to provide hospice care or home care for all children, although increasing emphasis has been placed on utilizing local resources. Even though we had increased the number of desired home deaths, it is still a challenge to meet patients and families' requests. A team approach, the recognition of the factors involved, and adequate health and community support have helped us to meet the child and family's needs.


PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0221480 ◽  
Author(s):  
Yingxi Chen ◽  
Martyn D. Kirk ◽  
Rhonda Stuart ◽  
Allen C. Cheng ◽  
Sallie-Anne Pearson ◽  
...  

2019 ◽  
Vol 5 (1) ◽  
pp. 48-52
Author(s):  
Sunita Sharma ◽  
Neeta Tamrakar

Tubercular infection is still a pervasive public health problem in Nepal despite the massive efforts of National Health Service stakeholders. This study was carried out to identify the factors associated with treatment compliance among Tuberculosis Patients Receiving DOTS in 11 centres of Pokhara valley. A cross-sectional descriptive study design was used to collect information from 142 Tuberculosis patients. Purposive sampling method was used and chi-square test was used at 5% level of significance. Pattern of compliance was categorized as; compliance and non-compliance. Out of 142 respondents, majority (94.37%) of respondents was compliant and minority (5.63%) was non-compliant. Among non-compliant patients, (75.0%) of respondents missed their medicine in intensive phase and the reasons for non-compliance were carelessness of patients, forgetfulness of patients, confusion of staff, side effects of medicines and agitation by political parties. The study found no significant association of treatment compliance with demographic factors, patient related factors, health service factors and social factors (p>0.05). The finding was satisfactory that the compliance of TB patients was high i.e. (94.37%) of respondents were compliant. About (6.00%) of respondents were non-compliant. The reasons for non-compliance were due to their own cause rather than health service factors. They themselves were responsible for being non-compliant. Tuberculosis, being a major public health problem; six percent non-compliance is still a serious health problem and being non-compliant; these patients can transmit tuberculosis to many other healthy people in the family and community. Therefore, tuberculosis patients should be more conscious on treatment compliance to improve their health as well as of family and community. Key words: Compliance, non-compliance, DOTS Therapy


Emotion ◽  
2016 ◽  
Vol 16 (5) ◽  
pp. 581-586 ◽  
Author(s):  
Rebecca A. Ferrer ◽  
Lynne Padgett ◽  
Erin M. Ellis

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