scholarly journals Structure of Decision Support for the Oldest Old by Expert Nurses in the Selection of Care Location During End of Life Care in Acute Hospitals

2021 ◽  
Vol 41 (0) ◽  
pp. 431-440
Author(s):  
Mari Yano ◽  
Hiromi Kobayashi
Keyword(s):  
Decision Support ◽  
End Of Life ◽  
End Of Life Care ◽  
Oldest Old ◽  
Life Care ◽  
Expert Nurses ◽  
Acute Hospitals ◽  
Selection Of

Acute hospitals recognised for quality of end of life care

2015 ◽  
Vol 27 (4) ◽  
pp. 7-7
Author(s):  
Sophie Blakemore
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Acute Hospitals

scholarly journals Voices that matter: end-of-life care in two acute hospitals from the perspective of bereaved relatives

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Sarah Donnelly ◽  
Geraldine Prizeman ◽  
Diarmuid Ó Coimín ◽  
Bettina Korn ◽  
Geralyn Hynes
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Acute Hospitals

scholarly journals Co-construction of the family-focused support conversation: a participatory learning and action research study to implement support for family members whose relatives are being discharged for end-of-life care at home or in a nursing home

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Sue Duke ◽  
◽  
Natasha Campling ◽  
Carl R. May ◽  
Susi Lund ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Research Evidence ◽  
Care Transitions ◽  
Family Members ◽  
Life Care ◽  
The Family ◽  
Acute Hospitals ◽  
Pilot Implementation ◽  
Context Specific

Abstract Background Many people move in and out of hospital in the last few weeks of life. These care transitions can be distressing for family members because they signify the deterioration and impending death of their ill relative and forthcoming family bereavement. Whilst there is evidence about psychosocial support for family members providing end-of-life care at home, there is limited evidence about how this can be provided in acute hospitals during care transitions. Consequently, family members report a lack of support from hospital-based healthcare professionals. Methods The aim of the study was to implement research evidence for family support at the end-of-life in acute hospital care. Informed by Participatory Learning and Action Research and Normalization Process Theory (NPT) we co-designed a context-specific intervention, the Family-Focused Support Conversation, from a detailed review of research evidence. We undertook a pilot implementation in three acute hospital Trusts in England to assess the potential for the intervention to be used in clinical practice. Pilot implementation was undertaken during a three-month period by seven clinical co-researchers - nurses and occupational therapists in hospital specialist palliative care services. Implementation was evaluated through data comprised of reflective records of intervention delivery (n = 22), in-depth records of telephone implementation support meetings between research team members and co-researchers (n = 3), and in-depth evaluation meetings (n = 2). Data were qualitatively analysed using an NPT framework designed for intervention evaluation. Results Clinical co-researchers readily incorporated the Family-Focused Support Conversation into their everyday work. The intervention changed family support from being solely patient-focused, providing information about patient needs, to family-focused, identifying family concerns about the significance and implications of discharge and facilitating family-focused care. Co-researchers reported an increase in family members’ involvement in discharge decisions and end-of-life care planning. Conclusion The Family-Focused Support Conversation is a novel, evidenced-based and context specific intervention. Pilot implementation demonstrated the potential for the intervention to be used in acute hospitals to support family members during end-of-life care transitions. This subsequently informed a larger scale implementation study. Trial registration n/a.

scholarly journals Critical nursing and health care aide behaviors in care of the nursing home resident dying with dementia

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Genevieve N. Thompson ◽  
Susan E. McClement
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Structured Interviews ◽  
Care Needs ◽  
Two Phase ◽  
Home Setting ◽  
Expert Nurses

Abstract Background With the aging of the population, dying with dementia will become one of the most common ways in which older adults will end their final years of life, particularly for those living in a nursing home. Though individuals living with dementia have complex care needs and would benefit from a palliative approach to care, they have traditionally not been recipients of such care. An important aspect of determining quality in end-of-life care is the identification of expert practices, processes or behaviors that may help achieve this care. However, for those living with dementia in nursing homes, we have a limited understanding of how to best support expert end of life care. To redress this gap in knowledge, the purpose of this study was to examine and describe expert care of the individual with dementia approaching death from the perspective of nurses and health care aides (HCAs) identified by their peers as having special expertise in caring for this population. Methods A qualitative research design known as Interpretative Description was used to conduct the study. Expert nurses and HCAs were identified through a two-phase nomination process. Individual semi-structured interviews were conducted with consenting participants. Data were analyzed using constant comparative analysis to determine the key critical behaviors. Results Analysis of data collected from expert nurses (n = 8) and HCAs (n = 7) revealed six critical behaviors when caring for residents dying with dementia. All nurses and HCAs unanimously endorsed that the overarching goal of care is similar for all residents who are actively dying; to achieve comfort. The six critical behaviors in caring for residents dying with dementia included: 1) recognizing and responding to changes in a resident’s pattern of behavior; 2) attending to the person; 3) working with the family; 4) engaging with others; 5) responding after the death has occurred; and 6) having a positive attitude toward care of the dying. Conclusions The critical behaviors described by nurses and HCAs in this study provides emerging evidence of best practices in care of those with dementia and their families, particularly near the end of life within the nursing home setting.

scholarly journals TRANSFORMING END OF LIFE CARE IN ACUTE HOSPITALS – HOW TO SET UP A TRUST WIDE PROJECT WITH BOARD LEVEL SUPPORT

2014 ◽  
Vol 4 (Suppl 1) ◽  
pp. A103.3-A104
Author(s):  
Elizabeth Rees ◽  
Suzanne Kite ◽  
Karen Henry ◽  
Melanie Larder
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Acute Hospitals ◽  
Set Up ◽  
Board Level

scholarly journals Death and the Oldest Old: Attitudes and Preferences for End-of-Life Care - Qualitative Research within a Population-Based Cohort Study

PLoS ONE ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. e0150686 ◽  
Author(s):  
Jane Fleming ◽  
Morag Farquhar ◽  
Carol Brayne ◽  
Stephen Barclay ◽  
Keyword(s):  
Qualitative Research ◽  
Cohort Study ◽  
End Of Life ◽  
End Of Life Care ◽  
Oldest Old ◽  
Population Based ◽  
Life Care

O-48 Bioethics for decision support on end-of-life care in Japan

2015 ◽  
Vol 5 (Suppl 2) ◽  
pp. A15.3-A16
Author(s):  
Aya Seike ◽  
Takako Okinaga ◽  
Carl Becker ◽  
Iyo Kaneda ◽  
Mitsuo Matsumoto
Keyword(s):  
Decision Support ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care

Poor record on end of life care of older patients found in acute hospitals

2009 ◽  
Vol 21 (10) ◽  
pp. 7-7
Author(s):  
Laura Doherty ◽  
Lisa Berry
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Life Care ◽  
Acute Hospitals
Sign in / Sign up

Export Citation Format

Share Document