Impact of Palliative Care Consultations on Resource Utilization in the Final 48 to 72 Hours of Life at an Acute Care Hospital in Ontario, Canada

2015 ◽  
Vol 31 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Thomas Foreman ◽  
Mike Kekewich ◽  
Joshua Landry ◽  
Dorothyann Curran
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Resource Utilization ◽  
Acute Care Hospital ◽  
Care Hospital

scholarly journals Improvement in the awareness of palliative care nursing using STAS-J in an acute care hospital

2015 ◽  
Vol 26 ◽  
pp. vii88
Author(s):  
Tsuyoshi Shirakawa ◽  
Keiko Hikage ◽  
Terumi Akino ◽  
Tomoko Hirata ◽  
HIroko Shigematsu ◽  
...  
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Care Nursing

scholarly journals Favorable effects of dietary intervention by registered dietitians in the palliative care unit: A report from an acute care hospital

2020 ◽  
Vol 23 (2) ◽  
pp. 74-78
Author(s):  
Yasuro Kato ◽  
Mami Fukuhara ◽  
Minako Takakura ◽  
Yuina Kuroda ◽  
Yui Ishida ◽  
...  
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Dietary Intervention ◽  
Acute Care Hospital ◽  
Palliative Care Unit ◽  
Care Hospital ◽  
Registered Dietitians

scholarly journals Palliative care for cancer patients near end of life in acute-care hospitals across Canada: a look at the inpatient palliative care code

2019 ◽  
Vol 26 (1) ◽  
Author(s):  
J. Tung ◽  
J. Chadder ◽  
D. Dudgeon ◽  
C. Louzado ◽  
J. Niu ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Acute Care ◽  
Care Delivery ◽  
Acute Care Hospital ◽  
Acute Care Hospitals ◽  
Administrative Databases ◽  
Care Hospital ◽  
Care Needs ◽  
Patients With Cancer

Hospitals play an important role in the care of patients with advanced cancer: nearly half of all cancer deaths occur in acute-care settings. The need for increasing access to palliative care and related support services for patients with cancer in acute-care hospitals is therefore growing. Here, we examine how often and how early in their illness patients with cancer might be receiving palliative care services in the 2 years before their death in an acute-care hospital in Canada. The palliative care code from inpatient administrative databases was used as a proxy for receiving, or being referred for, palliative care. Currently, the palliative care code is the only data element routinely collected from patient charts that allows for the tracking of palliative care activity at a pan-Canadian level.     Our findings suggest that most patients with cancer who die in an acute-care hospital receive a palliative designation; however, many of those patients are identified as palliative only in their final admission before death. Of the patients who received a palliative designation before their final admission, nearly half were identified as palliative less than 2 months before death. Findings signal that delivery of services within and between jurisdictions is not consistent, that the palliative care needs of some patients are being missed by physicians, and that palliative care is still largely seen as end-of-life care and is not recognized as an integral component of cancer care.     Measuring the provision of system-wide palliative care remains a challenge because comprehensive national data about palliative care are not currently reported from all sectors. To advance measurement and reporting of palliative care in Canada, attention should be focused on collecting comparable data from regional and provincial palliative care programs that individually capture data about palliative care delivery in all health care sectors.

scholarly journals Collaboration between physicians and a hospital-based palliative care team in a general acute-care hospital in Japan

2010 ◽  
Vol 9 (1) ◽  
Author(s):  
Nanako Tamiya ◽  
Mikako Okuno ◽  
Masayo Kashiwakgi ◽  
Mariko Nishikitani ◽  
Etsuko Aruga
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Palliative Care Team ◽  
Care Team ◽  
Care Hospital

Antibiotic Use in the Last Week of Life in Three Different Palliative Care Settings

2002 ◽  
Vol 18 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Doreen Oneschuk ◽  
Robin Fainsinger ◽  
Donna Demoissac
Keyword(s):  
Palliative Care ◽  
Acute Care ◽  
Hospital Setting ◽  
Acute Care Hospital ◽  
Antibiotic Use ◽  
Palliative Care Unit ◽  
Antibiotic Administration ◽  
Care Hospital ◽  
Marked Variability ◽  
Number Of Patients

The purpose of this study was to examine the frequency and types of antibiotics prescribed in the last week of life in three different palliative care settings, including an acute care hospital, tertiary palliative care unit, and three hospice units. A total of 150 consecutive patients were evaluated, 50 in each of the three settings. Twenty-nine patients (58%) in the acute hospital setting, 26 (52%) in the tertiary palliative care unit, and 11(22%) in the hospice settings were prescribed antibiotics. In the acute care and tertiary palliative care settings, the most frequent route of antibiotic administration was intravenous and, in the hospice setting, oral. We conclude that there is marked variability in the numbers and types of antibiotics prescribed in these different palliative care settings in the last week of life. The high use of intravenous antibiotics and the large number of patients who were still receiving antibiotics at the time of death indicate the need for further prospective studies.

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