Bereaved family members' perceptions of end-of-life cancer care in nursing homes, hospices with home care, and acute care hospitals

2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 8052-8052
Author(s):  
D. Brandoff ◽  
T. Wetle ◽  
M. Bourbonnaire ◽  
V. Mor ◽  
F. Schiffman ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Home Care ◽  
End Of Life ◽  
Acute Care ◽  
Cancer Care ◽  
Family Members ◽  
Acute Care Hospitals ◽  
Bereaved Family

Bereaved family members' perceptions of end-of-life cancer care in nursing homes, hospices with home care, and acute care hospitals

2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 8052-8052
Author(s):  
D. Brandoff ◽  
T. Wetle ◽  
M. Bourbonnaire ◽  
V. Mor ◽  
F. Schiffman ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Home Care ◽  
End Of Life ◽  
Acute Care ◽  
Cancer Care ◽  
Family Members ◽  
Acute Care Hospitals ◽  
Bereaved Family

Understanding Bereaved Family Members’ Dissatisfaction with End-of-Life Care in Nursing Homes

2012 ◽  
Vol 38 (10) ◽  
pp. 49-60 ◽  
Author(s):  
Genevieve N. Thompson ◽  
Susan E. McClement ◽  
Verena H. Menec ◽  
Harvey M. Chochinov
Keyword(s):  
Nursing Homes ◽  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Life Care ◽  
Bereaved Family

scholarly journals Quality Indicators of End-of-Life Cancer Care from the Bereaved Family Members' Perspective in Japan

2009 ◽  
Vol 37 (6) ◽  
pp. 1019-1026 ◽  
Author(s):  
Mitsunori Miyashita ◽  
Tatsuya Morita ◽  
Takayuki Ichikawa ◽  
Kazuki Sato ◽  
Yasuo Shima ◽  
...  
Keyword(s):  
End Of Life ◽  
Quality Indicators ◽  
Cancer Care ◽  
Family Members ◽  
Bereaved Family

Evaluation of End-of-Life Cancer Care From the Perspective of Bereaved Family Members: The Japanese Experience

2008 ◽  
Vol 26 (23) ◽  
pp. 3845-3852 ◽  
Author(s):  
Mitsunori Miyashita ◽  
Tatsuya Morita ◽  
Kei Hirai
Keyword(s):  
End Of Life ◽  
Cancer Care ◽  
End Of Life Care ◽  
Family Members ◽  
Evaluation Process ◽  
Life Care ◽  
Processes Of Care ◽  
Outcomes Of Care ◽  
Bereaved Family

Surveying bereaved family members could enhance the quality of end-of-life cancer care in inpatient palliative care units (PCUs). We systematically reviewed nationwide postbereavement studies of PCUs in Japan and attempts to develop measures for evaluating end-of-life care from the perspective of bereaved family members. The Care Evaluation Scale (CES) for evaluating the structures and processes of care, and the Good Death Inventory (GDI) for evaluating the outcomes of care were considered suitable methods. We applied a shortened version of the CES to three nationwide surveys from 2002 to 2007. We developed the CES as an instrument to measure the structures and processes of care and the GDI as an outcomes measure for end-of-life cancer care from the perspective of bereaved family members. We conducted three nationwide surveys in 1997, 2001, and 2007 (n = 850, 853, and 5,301, respectively). Although six of the 10 areas of the CES showed significant improvements between the two time points investigated, we identified considerable potential for further progress. Feedback from surveys of bereaved family members might help to improve the quality of end-of-life cancer care in inpatient PCUs. However, the effectiveness of feedback procedures remains to be confirmed. Furthermore, there is a need to extend the ongoing evaluation process to home care hospices and general hospitals, including cancer centers, identify the limitations of end-of-life care in all settings, and develop strategies to overcome them.

Family Perspectives on Aggressive End-of-Life Care (DRAFT)

2018 ◽  
Author(s):  
Ravi B. Parikh ◽  
Oreofe Odejide
Keyword(s):  
End Of Life ◽  
Cancer Care ◽  
End Of Life Care ◽  
Family Members ◽  
Life Care ◽  
Aggressive Cancer ◽  
Care Family ◽  
Bereaved Family ◽  
The Impact

The chapter describes the study by Wright and colleagues examining the impact of aggressive cancer care on bereaved family members’ perceptions of end-of-life care. Family members of patients with advanced-stage lung or colorectal cancer were interviewed after their loved ones died to elicit perceptions of care. This chapter presents family-member reported rating of quality of end-of-life care and the association of such rating with aggressive cancer care, including intensive care unit admission within 30 days of death, and no hospice or late hospice admission. It also reviews family members’ perception of whether patients received end-of-life care that was concordant with their wishes. This chapter highlights the downstream impact of aggressive cancer care on family members and the resulting implications for end-of-life care.

scholarly journals Course and predictors of posttraumatic stress-related symptoms among family members of deceased ICU patients during the first year of bereavement

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Siew Tzuh Tang ◽  
Chung-Chi Huang ◽  
Tsung-Hui Hu ◽  
Wen-Chi Chou ◽  
Li-Pang Chuang ◽  
...  
Keyword(s):  
Social Support ◽  
Posttraumatic Stress ◽  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Life Care ◽  
Ptsd Symptoms ◽  
Icu Patients ◽  
Clinically Significant ◽  
Bereaved Family

Abstract Background/Objective Death in intensive care units (ICUs) may increase bereaved family members’ risk for posttraumatic stress disorder (PTSD). However, posttraumatic stress-related symptoms (hereafter as PTSD symptoms) and their precipitating factors were seldom examined among bereaved family members and primarily focused on associations between PTSD symptoms and patient/family characteristics. We aimed to investigate the course and predictors of clinically significant PTSD symptoms among family members of deceased ICU patients by focusing on modifiable quality indicators for end-of-life ICU care. Method In this longitudinal observational study, 319 family members of deceased ICU patients were consecutively recruited from medical ICUs from two Taiwanese medical centers. PTSD symptoms were assessed at 1, 3, 6, and 13 months post-loss using the Impact of Event Scale-Revised (IES-R). Family satisfaction with end-of-life care in ICUs was assessed at 1 month post-loss. End-of-life care received in ICUs was documented over the patient’s ICU stay. Predictors for developing clinically significant PTSD symptoms (IES-R score ≥ 33) were identified by multivariate logistic regression with generalized estimating equation modeling. Results The prevalence of clinically significant PTSD symptoms decreased significantly over time (from 11.0% at 1 month to 1.6% at 13 months post-loss). Longer ICU stays (adjusted odds ratio [95% confidence interval] = 1.036 [1.006, 1.066]), financial insufficiency (3.166 [1.159, 8.647]), and reported use of pain medications (3.408 [1.230, 9.441]) by family members were associated with a higher likelihood of clinically significant PTSD symptoms among family members during bereavement. Stronger perceived social support (0.937 [0.911, 0.965]) and having a Do-Not-Resuscitate (DNR) order issued before the patient’s death (0.073 [0.011, 0.490]) were associated with a lower likelihood of clinically significant PTSD symptoms. No significant association was observed for family members’ satisfaction with end-of-life care (0.988 [0.944, 1.034]) or decision-making in ICUs (0.980 [0.944, 1.018]). Conclusions The likelihood of clinically significant PTSD symptoms among family members decreased significantly over the first bereavement year and was lower when a DNR order was issued before death. Enhancing social support and facilitating a DNR order may reduce the trauma of ICU death of a beloved for family members at risk for developing clinically significant PTSD symptoms.

Factors That Influenced Rates of Influenza Vaccination Among Employees of Wisconsin Acute Care Hospitals and Nursing Homes During the 2005-2006 Influenza Season

2007 ◽  
Vol 28 (12) ◽  
pp. 1398-1400 ◽  
Author(s):  
Gwen Borlaug ◽  
Alexandra Newman ◽  
John Pfister ◽  
Jeffrey P. Davis
Keyword(s):  
Nursing Homes ◽  
Influenza Vaccination ◽  
Acute Care ◽  
Influenza Season ◽  
Acute Care Hospitals ◽  
Vaccination Programs ◽  
Vaccination Rates

Hospitals and nursing homes were surveyed in 2006 to obtain information on employee influenza vaccination programs and baseline rates of influenza vaccination among employees. Results were used to make recommendations for improving employees' 2007 influenza vaccination rates. Facilities should continue to provide convenient and free vaccination programs, offer education to promote vaccination, and use signed declination forms.

Enterococcal Infections: An Increasing Problem in Hospitalized Patients

1988 ◽  
Vol 9 (10) ◽  
pp. 457-461 ◽  
Author(s):  
Margaret S. Terpenning ◽  
Marcus J. Zervos ◽  
Dennis R. Schaberg ◽  
Carol A. Kauffman
Keyword(s):  
Nursing Home ◽  
Urinary Tract ◽  
Soft Tissue ◽  
Home Care ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Older Men ◽  
Hospitalized Patients ◽  
Nursing Home Care ◽  
Overall Mortality

AbstractWe studied 157 episodes of infection or colonization with enterococci in 122 patients over a six-month period. One hundred twelve episodes (71.3%) occurred in patients over age 60 years. The most common sites for isolation of enterococci were the urinary tract, and bone and soft tissue. Nosocomial acquisition of enterococci occurred in 74.7% of all infections, and an additional 21% of episodes occurred in patients who had been transferred from another hospital or were regularly seen in the clinic. The overall mortality was 19.6%; 71.4% of those with bacteremia died. Enterococci appear to be significant pathogens, especially in older men in veterans' acute care hospitals and nursing home care units.

Association between Quality of End-of-Life Care and Possible Complicated Grief among Bereaved Family Members

2014 ◽  
Vol 17 (9) ◽  
pp. 1025-1031 ◽  
Author(s):  
Kaya Miyajima ◽  
Daisuke Fujisawa ◽  
Kimio Yoshimura ◽  
Masaya Ito ◽  
Satomi Nakajima ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Complicated Grief ◽  
Life Care ◽  
Bereaved Family
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