Policy, Resources and Practice: A Palliative Care Ward

1989 ◽  
Vol 5 (2) ◽  
pp. 6-9 ◽  
Author(s):  
Paul D. Henteleff
Keyword(s):  
Palliative Care ◽  
Terminally Ill ◽  
Palliative Care Unit ◽  
Terminally Ill Patients ◽  
Direct Admission ◽  
Dying At Home ◽  
Care Ward ◽  
At Home ◽  
Policies And Practices

Palliative Care, like any other service, must operate with policies, practices and resources. The St. Boniface Hospital Program undertook to reduce the insecurities of dying at home by assuring direct admission of terminally ill patients to the Palliative Care Unit. The operation of the unit was simulated with a computer to define rules for controlling bed utilization. The simulated description of the program also enabled projection of bed needs to accommodate changing demand and guided redefinition of policies and practices to adjust to changes. Over a ten year period the program was able to double program size with fixed resources.

Hypodermoclysis (HDC) for Symptom Control Vs. the Edmonton Injector (EI)

1991 ◽  
Vol 7 (4) ◽  
pp. 5-8 ◽  
Author(s):  
Robin L. Fainsinger ◽  
Eduardo Bruera
Keyword(s):  
Palliative Care ◽  
Symptom Control ◽  
Terminally Ill ◽  
Palliative Care Unit ◽  
New Method ◽  
Time Saving ◽  
Treatment Methods ◽  
Terminally Ill Patients

Hypodermoclysis (HDC) is a well-known method of providing symptom control in terminally ill patients. In this article we make reference to two previous reports describing our use of HDC and a new method of subcutaneous narcotic delivery called the Edmonton Injector (El). The rationale for using HDC mainly for rehydration and the El when subcutaneous narcotics are needed is explored. The controversy surrounding the treatment of dehydration in the terminally ill is examined. Finally, the advantages on our palliative care unit of the convenience, increased flexibility, and cost and time saving of these two treatment methods are discussed.

Factors associated with preference for dying at home among terminally ill patients with cancer

2015 ◽  
Vol 30 (3) ◽  
pp. 466-476 ◽  
Author(s):  
Marianne Schou-Andersen ◽  
Maria P. Ullersted ◽  
Anders Bonde Jensen ◽  
Mette Asbjoern Neergaard
Keyword(s):  
Terminally Ill ◽  
Factors Associated ◽  
Patients With Cancer ◽  
Terminally Ill Patients ◽  
Dying At Home ◽  
At Home

Availability of Frozen Foods and an In-Room Freezer for Terminally Ill Patients with Malignancies in a Palliative Care Unit

2020 ◽  
Vol 23 (11) ◽  
pp. 1419-1420
Author(s):  
Hideaki Kawabata ◽  
Kazumi Kitamura ◽  
Yoshiki Yamamoto ◽  
Yohei Okamoto ◽  
Kaori Aoki ◽  
...  
Keyword(s):  
Palliative Care ◽  
Terminally Ill ◽  
Palliative Care Unit ◽  
Frozen Foods ◽  
Terminally Ill Patients

Sedation for Delirium and Other Symptoms in Terminally Ill Patients in Edmonton

2000 ◽  
Vol 16 (2) ◽  
pp. 5-10 ◽  
Author(s):  
Robin L Fainsinger ◽  
Donna De Moissac ◽  
Isabel Mancini ◽  
Doreen Oneschuk
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Acute Care ◽  
Terminally Ill ◽  
Care Program ◽  
Palliative Care Unit ◽  
Pharmacological Management ◽  
Terminally Ill Patients ◽  
Pain Syndromes ◽  
Care Groups

The use of sedation and the management of delirium and other difficult symptoms in terminally ill patients in Edmonton has been reported previously. The focus of this study was to assess the prevalence in the Edmonton region of difficult symptoms requiring sedation at the end of life. Data were collected for 50 consecutive patients at each of (a) the tertiary palliative care unit, (b) the consulting palliative care program at the Royal Alexandra Hospital (acute care), and (c) three hospice inpatient units in the city. Patients on the tertiary palliative care unit were significantly younger. Assessments confirmed the more problematic physical and psychosocial issues of patients in the tertiary palliative care unit. These patients had more difficult pain syndromes and required significantly higher doses of daily opioids. Approximately 80% of patients in all three settings developed delirium prior to death. Pharmacological management of this problem was needed by 40% in the acute care setting, and by 80% in the tertiary palliative care unit. The patients sedated varied from 4% in the hospice setting to 10% in the tertiary palliative care unit. Of the 150 patients, nine were sedated for delirium, one for dyspnea. The prevalence of delirium and other symptoms requiring sedation in our area is relatively low compared to others reported in the literature. Demographic variability between the three Edmonton settings highlights the need for caution in comparing results of different palliative care groups. It is possible that some variability in the use of sedation internationally is due to cultural differences. The infrequent deliberate use of sedation in Edmonton suggests that improved management has resulted in fewer distressing symptoms at the end of life. This is of benefit to patients and to family members who are with them during this time.

Effect of Nutritional Support on Terminally Ill Patients With Cancer in a Palliative Care Unit

2012 ◽  
Vol 30 (7) ◽  
pp. 730-733 ◽  
Author(s):  
Koji Amano ◽  
Tatsuya Morita ◽  
Mika Baba ◽  
Muneyoshi Kawasaki ◽  
Shinichiro Nakajima ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nutritional Support ◽  
Terminally Ill ◽  
Palliative Care Unit ◽  
Patients With Cancer ◽  
Terminally Ill Patients
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