Analysis of Weekend out of Hours Support as Part of Home Hospice Care Service

2019 ◽  
Author(s):  
Ron Sabar
Keyword(s):  
Hospice Care ◽  
Care Service ◽  
Out Of Hours ◽  
Home Hospice Care

Utilization and Cost of Services in the Last 6 Months of Life of Patients With Cancer - With and Without Home Hospice Care

2013 ◽  
Vol 31 (7) ◽  
pp. 723-725 ◽  
Author(s):  
Netta Bentur ◽  
Shirli Resnizky ◽  
Ran Balicer ◽  
Tsofia Eilat-Tsanani
Keyword(s):  
Hospice Care ◽  
Patients With Cancer ◽  
Home Hospice Care

Role of out of hours primary care service in limiting inappropriate access to emergency department

2017 ◽  
Vol 13 (4) ◽  
pp. 549-555 ◽  
Author(s):  
Andrea Posocco ◽  
Maria Paola Scapinello ◽  
Irene De Ronch ◽  
Francesco Castrogiovanni ◽  
Gianluca Lollo ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Care Service ◽  
Primary Care Service ◽  
Out Of Hours

scholarly journals Frequency of Outpatient Antibiotic Prescription on Discharge to Hospice Care

2014 ◽  
Vol 58 (9) ◽  
pp. 5473-5477 ◽  
Author(s):  
Jon P. Furuno ◽  
Brie N. Noble ◽  
Kristi N. Horne ◽  
Jessina C. McGregor ◽  
Miriam R. Elman ◽  
...  
Keyword(s):  
Acute Care ◽  
Hospice Care ◽  
Antibiotic Prescription ◽  
Bloodstream Infections ◽  
Cross Sectional Study ◽  
Index Admission ◽  
Data Repository ◽  
Cross Sectional ◽  
Documented Infection ◽  
Home Hospice Care

ABSTRACTThe use of antibiotics is common in hospice care despite limited evidence that it improves symptoms or quality of life. Patients receiving antibiotics upon discharge from a hospital may be more likely to continue use following transition to hospice care despite a shift in the goals of care. We quantified the frequency and characteristics for receiving a prescription for antibiotics on discharge from acute care to hospice care. This was a cross-sectional study among adult inpatients (≥18 years old) discharged to hospice care from Oregon Health & Science University (OHSU) from 1 January 2010 to 31 December 2012. Data were collected from an electronic data repository and from the Department of Care Management. Among 62,792 discharges, 845 (1.3%) patients were discharged directly to hospice care (60.0% home and 40.0% inpatient). Most patients discharged to hospice were >65 years old (50.9%) and male (54.6%) and had stayed in the hospital for ≤7 days (56.6%). The prevalence of antibiotic prescription upon discharge to hospice was 21.1%. Among patients discharged with an antibiotic prescription, 70.8% had a documented infection during their index admission. Among documented infections, 40.3% were bloodstream infections, septicemia, or endocarditis, and 38.9% were pneumonia. Independent risk factors for receiving an antibiotic prescription were documented infection during the index admission (adjusted odds ratio [AOR] = 7.00; 95% confidence interval [95% CI] = 4.68 to 10.46), discharge to home hospice care (AOR = 2.86; 95% CI = 1.92 to 4.28), and having a cancer diagnosis (AOR = 2.19; 95% CI = 1.48 to 3.23). These data suggest that a high proportion of patients discharged from acute care to hospice care receive an antibiotic prescription upon discharge.

Telehospice: reasons for slow adoption in home hospice care

2009 ◽  
Vol 15 (4) ◽  
pp. 187-190 ◽  
Author(s):  
Pamela Whitten ◽  
Bree Holtz ◽  
Emily Meyer ◽  
Samantha Nazione
Keyword(s):  
Hospice Care ◽  
Home Hospice Care

scholarly journals Daytime use of general practice and use of the Out-of-Hours Primary Care Service for patients with chronic disease: a cohort study

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Lone Flarup ◽  
Grete Moth ◽  
Morten Bondo Christensen ◽  
Mogens Vestergaard ◽  
Frede Olesen ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Cohort Study ◽  
Chronic Disease ◽  
Care Service ◽  
Primary Care Service ◽  
Out Of Hours

Death Education in Home Hospice Care in Japan

2000 ◽  
Vol 16 (3) ◽  
pp. 37-45 ◽  
Author(s):  
Hiromi Kawagoe ◽  
Koh Kawagoe
Keyword(s):  
Hospice Care ◽  
Death Education ◽  
Home Hospice Care

scholarly journals Accounts of Family Conflict in Home Hospice Care: The Central Role of Autonomy for Informal Caregiver Resilience

2019 ◽  
Vol 25 (2) ◽  
pp. 190-218 ◽  
Author(s):  
Jacquelyn J. Benson ◽  
Debra Parker Oliver ◽  
George Demiris ◽  
Karla Washington
Keyword(s):  
Family Conflict ◽  
Health Care Professionals ◽  
Hospice Care ◽  
Secondary Analysis ◽  
Relational Dialectics ◽  
Relational Dialectics Theory ◽  
Hospice Patients ◽  
Stressful Experience ◽  
Home Hospice Care

End-of-life caregiving is a highly stressful experience often fraught with conflict and tension. However, little is known about the ways family conflict manifests for informal caregivers of home hospice patients (IHCs). Framed by relational dialectics theory, the purpose of this study was to provide nurses and other health care professionals with an empirical understanding of how IHCs experience family conflict and tensions associated with caregiving. A second aim was to determine what strategies IHCs use to manage these family conflicts. Data used in this qualitative secondary analysis were originally collected as part of a randomized clinical trial of an IHC support intervention. Based on thematic analysis of data from 25 IHCs who reported family conflict, a conceptual model of caregiver resilience was developed from the themes and categories that emerged during the coding stage. Autonomy was identified as a central tension. IHCs used several strategies to address family conflict including communication, formal support, and emotional self-care.

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