Lack of Truth-Telling in Palliative Care and Its Effects among Nurses and Nursing Students

Unclear communication of inauspicious prognoses may disorientate both patients and their relatives, drastically jeopardizing the planning of palliative care. This paper considers the issue of truth-telling in the communicative problems of nurses and students of nursing with terminally ill patients. The fundamental objective is the analysis of the difficulties related to the lack of truth-telling and how it might impact their professional and personal lives. A qualitative study was realized, involving 47 participants, both nurses (25) and nursing students (22), working in palliative care units or in associations of volunteers for the assistance of oncological patients. The exploration was focused on the way they relate to patients who are not aware of their real health conditions and their consequences. Particular attention was paid to their opinions concerning what could be done in order to manage such problematic situations in the near future.

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Principles of care for seriously ill patients in palliative office

Medsestra (Nurse) ◽

10.33920/med-05-2005-02 ◽

2020 ◽

pp. 15-18

Author(s):

Nina Tishchenko

Keyword(s):

Palliative Care ◽

The State ◽

State Budget ◽

Oncological Patients ◽

Seriously Ill Patients ◽

Seriously Ill

The article reflects the importance and importance of the work of nurses of the Department of Palliative Care for Oncological Patients of the State Budget Health Establishment «Samara Regional Clinical Oncological Clinic». Important stages and features of care when dealing with seriously ill patients.

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Social Capital and Sustainable Health Care: An Analysis of Community Based Palliative Care Model of Kerala

Indian Journal of Sustainable Development ◽

10.21863/ijsd/2015.1.1.001 ◽

2015 ◽

Vol 1 (1) ◽

Author(s):

Abdul Azeez. E.P

Keyword(s):

Social Capital ◽

Palliative Care ◽

Social Services ◽

Social Inclusion ◽

Well Being ◽

Vital Role ◽

Voluntary Organizations ◽

Community Based ◽

The Social ◽

Palliative Care Units

Social Capital is the most crucial asset which significantly influence the efficacy and resilience of any community. Social capital is a dependent variable that depends upon the competence and coherence of the individuals in the community and mode of social relationships, trust and networks they maintain. It is one of the most sustainable social resources that originate from human relations and results on the mutual support of people. Utilization of Social capital has a wide applicability in the process of social inclusion, especially in dealing with the vulnerable and disadvantaged sections in the community itself. Voluntary organizations are very keen to utilize the social capital for community/social services and community development in a sustainable manner. Community based de-institutionalized Palliative Care is one of the foremost among such organizations that made social capital in a strategic way for social inclusion and community well being. This paper analyses the extent to which different elements of social capital helps in initiating the sustainable community based palliative care movement by assessing the unique intervention strategies carried out by the palliative care. This paper explores conceptual questions of how social capital and voluntary community based services are correlated. A case study method was adopted for the study in which ten palliative care units were analyzed. The results show that a number of social capital elements are playing a vital role in the sustainability of community palliative care movement in Kerala.

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Differences among institutions in the prevalence of and indications for urinary catheterization of advanced cancer patients at palliative care units: A multicenter prospective cohort study (EASED)

Palliative Medicine ◽

10.1177/0269216321989564 ◽

2021 ◽

pp. 026921632198956

Author(s):

Takahiro Higashibata ◽

Takayuki Hisanaga ◽

Shingo Hagiwara ◽

Miho Shimokawa ◽

Ritsuko Yabuki ◽

...

Keyword(s):

Palliative Care ◽

Cancer Patients ◽

Advanced Cancer ◽

Urinary Catheterization ◽

Urinary Catheters ◽

Advanced Cancer Patients ◽

Appropriate Use ◽

Palliative Care Units ◽

Multicenter Prospective Cohort Study ◽

Multicenter Prospective Cohort

Background: Studies on the appropriate use of urinary catheters for cancer patients at the end of life are limited. Aim: To clarify the differences among institutions in the prevalence of and indications for urinary catheterization of advanced cancer patients at palliative care units. Design: Pre-planned secondary analysis of a multicenter, prospective cohort study; East-Asian collaborative cross-cultural Study to Elucidate the Dying process (EASED). Setting/participants: This study enrolled consecutive advanced cancer patients admitted to palliative care units between January and December 2017. The final study group comprised 1212 patients from 21 institutions throughout Japan. Results: Out of the 1212 patients, 380 (31.4%; 95% confidence interval, 28.7%–34.0%) underwent urinary catheterization during their palliative care unit stay, and the prevalence of urinary catheterization in patients who died at palliative care units by institution ranged from 0.0% to 55.4%. When the 21 participating institutions were equally divided into three groups according to the institutional prevalence of catheterization, patients with difficulty in moving safely, exhaustion on movement, and restlessness or agitation were more likely to be catheterized in institutions with a high prevalence of catheterization than in those with a low or moderate prevalence ( p < 0.008, p = 0.008, and p < 0.008, respectively). Conclusion: This study revealed that the institutional prevalence of urinary catheterization in advanced cancer patients at palliative care units widely varied. Further studies are needed to establish the appropriate use of urinary catheters, especially in patients with difficulty in moving safely, exhaustion on movement, and restlessness or agitation.

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Pharmacological treatment in the dying geriatric patient: describing use and dosage of opioids in the acute geriatric wards and palliative care units of three hospitals

European Geriatric Medicine ◽

10.1007/s41999-021-00496-2 ◽

2021 ◽

Author(s):

Wim H. Janssens ◽

Nele J. Van Den Noortgate ◽

Ruth D. Piers

Keyword(s):

Palliative Care ◽

Pharmacological Treatment ◽

Geriatric Patient ◽

Palliative Care Units

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Japanese head nurses' perspectives regarding issues of nurses working in palliative care units and current support systems

Progress in Palliative Care ◽

10.1179/1743291x10y.0000000008 ◽

2010 ◽

Vol 18 (6) ◽

pp. 358-363 ◽

Cited By ~ 2

Author(s):

Kaori Shimoinaba ◽

Margaret O'Connor ◽

Susan Lee

Keyword(s):

Palliative Care ◽

Support Systems ◽

Palliative Care Units

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Quality of life change and response shift in patients admitted to palliative care units: a pilot study

Palliative Medicine ◽

10.1191/0269216305pm1029oa ◽

2005 ◽

Vol 19 (5) ◽

pp. 381-388 ◽

Cited By ~ 26

Author(s):

Michael A Echteld ◽

Luc Deliens ◽

Marcel E Ooms ◽

Miel W Ribbe ◽

Gerrit van der Wal

Keyword(s):

Quality Of Life ◽

Palliative Care ◽

Pilot Study ◽

Response Shift ◽

Life Change ◽

Palliative Care Units

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Late Referrals to Specialized Palliative Care Service in Japan

Journal of Clinical Oncology ◽

10.1200/jco.2005.12.107 ◽

2005 ◽

Vol 23 (12) ◽

pp. 2637-2644 ◽

Cited By ~ 152

Author(s):

Tatsuya Morita ◽

Tatsuo Akechi ◽

Masayuki Ikenaga ◽

Yoshiyuki Kizawa ◽

Hiroyuki Kohara ◽

...

Keyword(s):

Palliative Care ◽

End Of Life Care ◽

Response Rate ◽

Care Service ◽

Family Members ◽

Palliative Care Service ◽

Effective Response ◽

Specialized Palliative Care ◽

Palliative Care Units ◽

Bereaved Family

Purpose To clarify the bereaved family's perceptions about the appropriateness of timing when physicians first referred patients to palliative care units, and to identify the factors contributing to family-perceived late referrals. Subjects and Methods A multicenter questionnaire survey was conducted on 630 bereaved family members of cancer patents who were admitted to palliative care units in Japan. A total of 318 responses were analyzed (effective response rate, 62%). Results Half of the bereaved family members regarded the timing of referrals to palliative care units as late or very late, while less than 5% of families reported early referrals (very late [19%, n = 59], late [30%, n = 96], appropriate [48%, n = 151], early [1.6%, n = 5], and very early [2.2%, n = 7]). Multiple regression analyses revealed that the independent determinants of family-perceived late referrals were: family belief before admission that palliative care shortens the patient's life, insufficient in-advance discussion about preferred end-of-life care between patients/families and physicians, families' insufficient preparation for changes of patient conditions, and hospital admission before referrals. Conclusion In Japan, the timing of referrals to palliative care units was late or very late from the families' perspectives. The independent determinants of family-perceived late referrals were: family misconception about palliative care, inadequate communication with physicians, and families' insufficient preparation for deterioration of patients' conditions. Systematic strategies to overcome these barriers would contribute to providing appropriate palliative care at all stages of cancer.

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