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

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 Health care utilization and end-of-life care for older patients with acute myeloid leukemia

Cancer ◽  
2015 ◽  
Vol 121 (16) ◽  
pp. 2840-2848 ◽  
Author(s):  
Areej R. El-Jawahri ◽  
Gregory A. Abel ◽  
David P. Steensma ◽  
Thomas W. LeBlanc ◽  
Amir T. Fathi ◽  
...  
Keyword(s):  
Health Care ◽  
Acute Myeloid Leukemia ◽  
Health Care Utilization ◽  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Myeloid Leukemia ◽  
Care Utilization ◽  
Life Care ◽  
Acute Myeloid

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 Health Care Use by Older Adults With Acute Myeloid Leukemia at the End of Life

2017 ◽  
Vol 35 (30) ◽  
pp. 3417-3424 ◽  
Author(s):  
Rong Wang ◽  
Amer M. Zeidan ◽  
Stephanie Halene ◽  
Xiao Xu ◽  
Amy J. Davidoff ◽  
...  
Keyword(s):  
Health Care ◽  
Acute Myeloid Leukemia ◽  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Myeloid Leukemia ◽  
Hospice Care ◽  
Life Care ◽  
To Receive ◽  
Acute Myeloid

Purpose Little is known about the patterns and predictors of the use of end-of-life health care among patients with acute myeloid leukemia (AML). End-of-life care is particularly relevant for older adults with AML because of their poor prognosis. Methods We performed a population-based, retrospective cohort study of patients with AML who were ≥ 66 years of age at diagnosis and diagnosed during the period from 1999 to 2011 and died before December 31, 2012. Medicare claims were used to assess patterns of hospice care and use of aggressive treatment. Predictors of these end points were evaluated using multivariable logistic regression analyses. Results In the overall cohort (N = 13,156), hospice care after AML diagnosis increased from 31.3% in 1999 to 56.4% in 2012, but the increase was primarily driven by late hospice enrollment that occurred in the last 7 days of life. Among the 5,847 patients who enrolled in hospice, 47.4% and 28.8% started their first hospice enrollment in the last 7 and 3 days of life, respectively. Among patients who transferred in and out of hospice care, 62% received transfusions outside hospice. Additionally, the use of chemotherapy within the last 14 days of life increased from 7.7% in 1999 to 18.8% in 2012. Patients who were male and nonwhite were less likely to enroll in hospice and more likely to receive chemotherapy or be admitted to intensive care units at the end of life. Conversely, older patients were less likely to receive chemotherapy or have intensive care unit admission at the end of life, and were more likely to enroll in hospice. Conclusion End-of-life care for older patients with AML is suboptimal. Additional research is warranted to identify reasons for their low use of hospice services and strategies to enhance end-of-life care for these patients.

scholarly journals End of life care for frail older patients in family practice (ELFOP) – protocol of a longitudinal qualitative study on needs, appropriateness and utilisation of services

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Gabriele Müller-Mundt ◽  
Jutta Bleidorn ◽  
Karin Geiger ◽  
Katharina Klindtworth ◽  
Sabine Pleschberger ◽  
...  
Keyword(s):  
Qualitative Study ◽  
End Of Life ◽  
Family Practice ◽  
End Of Life Care ◽  
Older Patients ◽  
Life Care

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

Intensity of treatment, end-of-life care, and mortality for older patients with severe traumatic brain injury

2016 ◽  
Vol 80 (6) ◽  
pp. 998-1004 ◽  
Author(s):  
Elizabeth J. Lilley ◽  
Katherine J. Williams ◽  
Eric B. Schneider ◽  
Khaled Hammouda ◽  
Ali Salim ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
End Of Life ◽  
Severe Traumatic Brain Injury ◽  
End Of Life Care ◽  
Older Patients ◽  
Life Care ◽  
Intensity Of Treatment
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