scholarly journals END-OF-LIFE CARE IN ELDERLY PATIENTS WITH END-STAGE RENAL DISEASE - ETHICAL AND CLINICAL ISSUES

2015 ◽  
Author(s):  
Liliana Tuta
Keyword(s):  
Elderly Patients ◽  
Renal Disease ◽  
End Of Life ◽  
End Stage Renal Disease ◽  
End Of Life Care ◽  
Life Care ◽  
Clinical Issues ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Better continuity of care improves the quality of end-of-life care among elderly patients with end-stage renal disease

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Annie Y. Chen ◽  
Bradley Chen ◽  
Chin-Chi Kuo
Keyword(s):  
Elderly Patients ◽  
Renal Disease ◽  
End Of Life ◽  
Continuity Of Care ◽  
End Stage Renal Disease ◽  
End Of Life Care ◽  
Life Care ◽  
Stage Renal Disease ◽  
End Stage

AbstractContinuity of care (COC) has been emphasized in research on terminal cancer patients to increase the quality of end-of-life care; however, limited research has been conducted on end-stage renal disease patients. We applied a retrospective cohort design on 29,095 elderly patients with end-stage renal disease who died between 2005 and 2013. These patients were identified from the National Health Insurance Research Database of Taiwan. The provider Continuity of Care Index (COCI) and site COCI were calculated on the basis of outpatient visits during the 6–12 months before death. We discovered that increases in the provider COCI were significantly associated with reductions in health expenditures after adjusting for confounders, especially in inpatient and emergency departments, where the treatment intensity is high. Higher provider and site COC were also associated with lower utilization of acute care and invasive treatments in the last month before death. Provider COC had a greater effect on end-of-life care expenditures than site COC did, which indicated significant care coordination gaps within the same facility. Our findings support the recommendation of prioritizing the continuity of end-of-life care, especially provider continuity, for patients with end-stage renal disease.

Hospice Use and End-of-Life Care for Patients With End-stage Renal Disease

2018 ◽  
Vol 178 (6) ◽  
pp. 799 ◽  
Author(s):  
Margaret L. Schwarze ◽  
Kate Schueller ◽  
R. Allan Jhagroo
Keyword(s):  
Renal Disease ◽  
End Of Life ◽  
End Stage Renal Disease ◽  
End Of Life Care ◽  
Life Care ◽  
Hospice Use ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals End-of-life care in patients with end-stage renal disease

2012 ◽  
Vol 27 (3) ◽  
pp. 879-881 ◽  
Author(s):  
N. Arulkumaran ◽  
P. Szawarski ◽  
B. J. Philips
Keyword(s):  
Renal Disease ◽  
End Of Life ◽  
End Stage Renal Disease ◽  
End Of Life Care ◽  
Life Care ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals The Validation of Questionnaire on End of Life Care Knowledge, Perceptions and Preferences among End Stage Renal Disease Patients on Haemodialysis in Kuantan

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Nur Raziana Rozi ◽  
Wan Ahmad Syahril Rozli Wan Ali ◽  
Che Rosle Draman ◽  
Hafizah Pasi
Keyword(s):  
Factor Analysis ◽  
Renal Disease ◽  
End Of Life ◽  
End Stage Renal Disease ◽  
End Of Life Care ◽  
Internal Consistency Reliability ◽  
Life Care ◽  
Stage Renal Disease ◽  
End Stage ◽  
Esrd Patients

Introduction: There has been an increasing awareness on the end of life care for end stage renal disease (ESRD) patients and patients’ factors have been identified as pivotal elements in directing its implementation. Questionnaire has been a useful tool by researchers to assess on patients’ knowledge, perceptions and preferences on end of life care. However, up to date, there is no validated questionnaire developed in Malaysia for such purposes. Thus, this study aims to develop and validate questionnaires on end of life care knowledge, perceptions and preferences among ESRD patients in Kuantan. Materials and method: A cross-sectional study among haemodialysis (HD) patients aged 18 and above from 14 out-patient HD centres was performed. This study was divided into 4 phases i) developing the questionnaire involving related specialists and pre testing, ii) improving and editing the questionnaire and redistribution to 50 respondents for the pilot study, iii) factor analysis and iv) internal consistency reliability testing of the questionnaire.  Results:  The result of Factor analysis with Varimax rotation performed identified 3 domains for the 41 items, with 10 to 20 items in each domain. All the 41 analyzed items had a good factor loading of more than 0.4 with the lowest value of 0.421 and were nicely fit into 3 respective domains; knowledge, perception and preference. Internal consistency reliability analysis performed indicates that Cronbach’s α was between 0.5 to 0.7 for all factors which were higher than the level set for this study which is 0.5. Conclusion: The questionnaire is successfully validated and considered as a useful tool to be used. Nonetheless, improvement will still be necessary from time to time to ensure its relevance especially if it is to be used by different populations or countries of different background than Malaysia.

End-of-life care in end-stage renal disease: renal and palliative care

2006 ◽  
Vol 15 (1) ◽  
pp. 8-11 ◽  
Author(s):  
FEM Murtagh ◽  
E Murphy ◽  
KA Shepherd ◽  
P Donohoe ◽  
PM Edmonds
Keyword(s):  
Palliative Care ◽  
Renal Disease ◽  
End Of Life ◽  
End Stage Renal Disease ◽  
End Of Life Care ◽  
Life Care ◽  
Stage Renal Disease ◽  
End Stage
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