Which patients with terminal cancer are admitted from home care?

Abstract:

:The factors related to admission of patients with terminal cancer who had been referred to a reputable home care service were examined in 415 patients referred in a two-year period and in a prospective study of a randomized one in three sample of the 232 adults still alive one week after referral, who were able to converse and be at home with caring relatives. The reasons given by staff for intermediate admissions were mostly to improve symptom control or provide respite; for final admissions the reasons were symptom control, patients' deteriorated state and relatives needing relief. Independent weekly assessments usually concurred in showing increasing problems or distress preceding final admission, particularly patients' weakness, pain, depression and anxiety, and relatives' fatigue, anxiety or depression. Examination of selected demographic and illness factors indicated that few patients living alone or with unfit relatives stayed at home; breast cancer led to more deaths as an inpatient, whereas stomach cancer favoured deaths at home. The proportion of patients admitted steadily increased as care lengthened. Assessments of psychological factors showed that initial attitudes of denial, conscious fighting of disease, and optimism were linked with increased late admissions; earlier awareness of dying in patients and stoicism in relatives favoured home deaths. A growing preference for inpatient care usually preceded or accompanied admission. Recognition of both immediate and underlying causes of admission can indicate where further treatment or assistance is needed and also improve understanding so that patients and relatives may be suitably supported or helped to adjust.

journal_name

Palliat Med

journal_title

Palliative medicine

authors

Hinton J

doi

10.1177/026921639400800303

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

197-210

issue

3

eissn

0269-2163

issn

1477-030X

journal_volume

8

pub_type

临床试验,杂志文章,随机对照试验
  • Home palliative care for terminal cancer patients: a survey on the final week of life.

    abstract::As part of a large multicentre study on palliative care units in Italy, carried out between 1 January and 30 June 1995, we describe the place, circumstances and 'quality of death' of patients admitted to home palliative care. Data presented refer to 401 patients (67% of the 601 patients randomly selected for evaluatio...

    journal_title:Palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1191/026921699669863369

    authors: Peruselli C,Di Giulio P,Toscani F,Gallucci M,Brunelli C,Costantini M,Tamburini M,Paci E,Miccinesi G,Addington-Hall JM,Higginson IJ

    更新日期:1999-05-01 00:00:00

  • Progressive multifocal leukoencephalopathy and palliative care: a report of three cases and review of the literature.

    abstract::Progressive multifocal leukoencephalopathy (PML) is a rare but usually fatal demyelinating disease of the central nervous system in patients who are immunocompromised. It is characterized by rapid neurological deterioration associated with progressive white matter changes on imaging and is confirmed by isolation of th...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216312450932

    authors: Cotton PJ,Le B

    更新日期:2013-03-01 00:00:00

  • Palliative Care Problem Severity Score: Reliability and acceptability in a national study.

    abstract:BACKGROUND:The Palliative Care Problem Severity Score is a clinician-rated tool to assess problem severity in four palliative care domains (pain, other symptoms, psychological/spiritual, family/carer problems) using a 4-point categorical scale (absent, mild, moderate, severe). AIM:To test the reliability and acceptabi...

    journal_title:Palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0269216315613904

    authors: Masso M,Allingham SF,Johnson CE,Pidgeon T,Yates P,Currow D,Eagar K

    更新日期:2016-05-01 00:00:00

  • Perspectives of people with mild intellectual disabilities on care relationships at the end of life: A group interview study.

    abstract:BACKGROUND:Care relationships are crucial in tailoring the end-of-life care of a person with intellectual disabilities (ID) to their needs. Yet, almost all studies on end-of-life care for people with ID have been conducted among caregivers. The views of people with ID about care relationships at the end of life have no...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216316640421

    authors: Bekkema N,de Veer AJ,Hertogh CM,Francke AL

    更新日期:2016-07-01 00:00:00

  • French general practitioners vary in their attitudes toward treating terminally ill patients.

    abstract::The purpose of this study is to analyze French general practitioners' attitudes toward prescribing opiate painkillers for dying patients and compare them with their attitudes toward making frequent home visits. One hundred and fifteen general practitioners indicated the acceptability of prescribing opiates in 48 scena...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216309107012

    authors: Mas C,Albaret MC,Sorum PC,Mullet E

    更新日期:2010-01-01 00:00:00

  • A study into the educational needs of children's hospice doctors: a descriptive quantitative and qualitative survey.

    abstract:OBJECTIVES:To identify and explore the educational needs of children's hospice doctors in England. DESIGN:A descriptive quantitative and qualitative survey. SETTING:Children's hospices in England. PARTICIPANTS:All children's hospice doctors (n =55) in England were approached, and 35 (65%) consented. INTERVENTIONS:A...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216304pm902oa

    authors: Amery J,Lapwood S

    更新日期:2004-12-01 00:00:00

  • Feeling like a burden to others: a systematic review focusing on the end of life.

    abstract::Research into the burden of illness has focused predominantly on family caregivers, with little consideration of the other side of the caregiving relationship-care recipients' perspectives on having become a 'burden to others'. However, there is now a small but growing body of evidence to suggest that worry about crea...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216307076345

    authors: McPherson CJ,Wilson KG,Murray MA

    更新日期:2007-03-01 00:00:00

  • The trajectory of functional decline over the last 4 months of life in a palliative care population: A prospective, consecutive cohort study.

    abstract:BACKGROUND:Understanding current patterns of functional decline will inform patient care and has health service and resource implications. AIM:This prospective consecutive cohort study aims to map the shape of functional decline trajectories at the end of life by diagnosis. DESIGN:Changes in functional status were me...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216319839024

    authors: Morgan DD,Tieman JJ,Allingham SF,Ekström MP,Connolly A,Currow DC

    更新日期:2019-06-01 00:00:00

  • The 'safe death': An ethnographic study exploring the perspectives of rural palliative care patients and family caregivers.

    abstract:BACKGROUND:In rural settings, relationships between place and self are often stronger than for urban residents, so one may expect that rural people would view dying at home as a major feature of the 'good death'. AIM:To explore the concept of the 'good death' articulated by rural patients with life-limiting illnesses,...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216318800613

    authors: Rainsford S,Phillips CB,Glasgow NJ,MacLeod RD,Wiles RB

    更新日期:2018-12-01 00:00:00

  • Information disclosure to terminally ill patients and their relatives: self-reported practice of Belgian clinical specialists and general practitioners.

    abstract::Objective of this study is to examine physicians' practices regarding information disclosure to terminally ill patients and to their relatives, without informing the patient. A questionnaire had been sent to a random sample of 3014 Belgian physicians from different specialties frequently involved in end-of-life care. ...

    journal_title:Palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0269216308102043

    authors: Michiels E,Deschepper R,Bilsen J,Mortier F,Deliens L

    更新日期:2009-06-01 00:00:00

  • Educational opportunities in palliative care: what do general practitioners want?

    abstract::It is important to support general practitioners (GPs) in maintaining and developing their palliative care skills as most of the final year of a patient's life is spent at home under the care of the primary health care team. The training needs and uptake of GPs have been explored, but little is known about how GP educ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/026921601678576176

    authors: Shipman C,Addington-Hall J,Barclay S,Briggs J,Cox I,Daniels L,Millar D

    更新日期:2001-05-01 00:00:00

  • Erratum.

    abstract::Philip J Larkin, Fliss Murtagh, Heather Richardson, Myra Bluebond Langner and Sheila Payne (2016) Collaboration: Securing a future for palliative care research. Palliative Medicine, September 2016 30:8 709-710, doi: 10.1177/0269216316661970. ...

    journal_title:Palliative medicine

    pub_type: 杂志文章,已发布勘误

    doi:10.1177/0269216316672799

    authors:

    更新日期:2016-12-01 00:00:00

  • Implementation of a pilot telehealth programme in community palliative care: A qualitative study of clinicians' perspectives.

    abstract:BACKGROUND:Telehealth technologies are an emerging resource opening up the possibility of greater support if they have utility for patients, carers and clinicians. They may also help to meet health systems' imperatives for improved service delivery within current budgets. Clinicians' experiences and attitudes play a ke...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216315600113

    authors: Collier A,Morgan DD,Swetenham K,To TH,Currow DC,Tieman JJ

    更新日期:2016-04-01 00:00:00

  • A review of dysphagia in four cases of motor neurone disease.

    abstract::Dysphagia is a common and distressing problem in motor neurone disease. This paper examines some of the strategies available for managing patients with dysphagia, and illustrates these with four contrasting case histories. The factors which influence the decision making process in patients with dysphagia are also disc...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216393007004S08

    authors: Scott A,Heughan A

    更新日期:1993-01-01 00:00:00

  • 'Oh God, not a palliative': out-of-hours general practitioners within the domain of palliative care.

    abstract::To date, the experiences of out-of-hours general practitioners with regard to palliative care patients and their management are yet to be evaluated, since the new General Medical Services contract came into force. In 2007 the National Institute for Health Research highlighted the need to identify factors that improve ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216310368580

    authors: Taubert M,Nelson A

    更新日期:2010-07-01 00:00:00

  • 'Palliative sedation'? A retrospective cohort study on the use and labelling of continuously administered sedatives on a palliative care unit.

    abstract:BACKGROUND:Sedatives are frequently used towards the end of life. However, there is scarce information when their use is labelled as 'palliative sedation'. AIM:To assess the use and labelling of 'continuous administration of sedatives within the last 7 days of life', based on objective operational criteria, on a palli...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216318764095

    authors: Schildmann E,Pörnbacher S,Kalies H,Bausewein C

    更新日期:2018-07-01 00:00:00

  • Economic evaluation of a combined screening and stepped-care treatment program targeting psychological distress in patients with metastatic colorectal cancer: A cluster randomized controlled trial.

    abstract:BACKGROUND:Psychological distress is highly prevalent among patients with metastatic colorectal cancer. AIMS:To perform an economic evaluation of a combined screening and treatment program targeting psychological distress in patients with metastatic colorectal cancer in comparison with usual care. DESIGN:Societal cos...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216320913463

    authors: El Alili M,Schuurhuizen CSEW,Braamse AMJ,Beekman ATF,van der Linden MH,Konings IR,Dekker J,Bosmans JE

    更新日期:2020-07-01 00:00:00

  • Implantable cardioverter defibrillator knowledge and end-of-life device deactivation: A cross-sectional survey.

    abstract:BACKGROUND:End-of-life implantable cardioverter defibrillator deactivation discussions should commence before device implantation and be ongoing, yet many implantable cardioverter defibrillators remain active in patients' last days. AIM:To examine associations among implantable cardioverter defibrillator knowledge, pa...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216317718438

    authors: McEvedy SM,Cameron J,Lugg E,Miller J,Haedtke C,Hammash M,Biddle MJ,Lee KS,Mariani JA,Ski CF,Thompson DR,Chung ML,Moser DK

    更新日期:2018-01-01 00:00:00

  • Palliative care services: what needs assessment?

    abstract::A survey of all district health authorities in England was conducted in order to describe current patterns of needs assessment and contract setting for palliative care services. Outcome measures included the completion of needs assessments in the past five years, the type of data used for needs assessment, and recomme...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639500900403

    authors: Robbins MA,Frankel SJ

    更新日期:1995-10-01 00:00:00

  • The Liverpool Care Pathway for cancer patients dying in hospital medical wards: a before-after cluster phase II trial of outcomes reported by family members.

    abstract:BACKGROUND:Hospital is the most common place of cancer death but concerns regarding the quality of end-of-life care remain. AIM:Preliminary assessment of the effectiveness of the Liverpool Care Pathway on the quality of end-of-life care provided to adult cancer patients during their last week of life in hospital. DES...

    journal_title:Palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269216313487569

    authors: Costantini M,Pellegrini F,Di Leo S,Beccaro M,Rossi C,Flego G,Romoli V,Giannotti M,Morone P,Ivaldi GP,Cavallo L,Fusco F,Higginson IJ

    更新日期:2014-01-01 00:00:00

  • Pain scales in children: a review.

    abstract::This is a review of tools that have been developed to assess pain in children, with a brief evaluation of their practicality and validity. There are some suggestions for the direction of future research in the development and use of the scales. ...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/026921639701100503

    authors: Hain RD

    更新日期:1997-09-01 00:00:00

  • Nurses working 12-hour shifts in the hospice setting.

    abstract::A system of 12-hour nursing shifts was adopted at a newly-opened independent hospice. This paper presents the results from an exploratory, descriptive study in which nursing staff reported perceived advantages, disadvantages and satisfaction with the 12-hour shift system. A small sample (n = 11) of both qualified and ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639500900206

    authors: Hodgson LA

    更新日期:1995-04-01 00:00:00

  • Retrospective evaluation of palliative care and hospice utilization in hospitalized patients with metastatic breast cancer.

    abstract:BACKGROUND:Hospitalizations in patients with metastatic cancer occur commonly at the end of life but have not been well-described in individuals with metastatic breast cancer. AIM:To describe the reasons for admission and frequency of palliative care and hospice utilization in hospitalized patients with metastatic bre...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216316637238

    authors: Shin JA,Parkes A,El-Jawahri A,Traeger L,Knight H,Gallagher ER,Temel JS

    更新日期:2016-10-01 00:00:00

  • Physician factors associated with outpatient palliative care referral.

    abstract::Outpatient palliative care can provide significant benefits to seriously ill patients, but several barriers to appropriate referrals remain. No study has examined the physician factors associated with referral to outpatient palliative care. To determine physician factors, with a focus on physician beliefs, associated ...

    journal_title:Palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0269216309106315

    authors: Ahluwalia SC,Fried TR

    更新日期:2009-10-01 00:00:00

  • The last three months of life of Italian cancer patients. Methods, sample characteristics and response rate of the Italian Survey of the Dying of Cancer (ISDOC).

    abstract:STUDY OBJECTIVE:The Italian Survey of the Dying of Cancer (ISDOC) was undertaken to evaluate the experiences of Italian people dying from cancer during their last three months of life in all settings of care. STUDY DESIGN:A two-stage probability sample was used to estimate end-of-life outcomes of about 160 000 Italian...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216305pm1086oa

    authors: Costantini M,Beccaro M,Merlo F,ISDOC Study Group.

    更新日期:2005-12-01 00:00:00

  • Caregiver characteristics and bereavement needs: Findings from a population study.

    abstract:BACKGROUND:Globally, most care for people with life-limiting illnesses is provided by informal caregivers. Identifying characteristics of caregivers that may have unmet needs and negative outcomes can help provide better support to facilitate adjustment. AIM:We compared characteristics, expressed unmet needs and outco...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216316663855

    authors: DiGiacomo M,Hatano Y,Phillips J,Lewis J,Abernethy AP,Currow DC

    更新日期:2017-05-01 00:00:00

  • The impact on community palliative care services of a hospital palliative care team.

    abstract::This retrospective study examined the influence of a hospital palliative care team on the activity of a local hospice home care team over a four-year period from May 1989 to April 1993 in East Leeds. The increasing referral to death interval observed in home care patients over this period appears to be due to the pres...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639400800308

    authors: Bennett M,Corcoran G

    更新日期:1994-01-01 00:00:00

  • Palliative care research protocols: a special case for ethical review?

    abstract::Between October 2001 and May 2002 the Chairperson and Vice-Chairperson of each Multicentre Research Ethics Committee (MREC) in England, Wales and Scotland took part in a semi-structured interview to ascertain the attitudes of MRECs to palliative care research. Interviews were transcribed and analysed using a grounded ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216303pm786oa

    authors: Stevens T,Wilde D,Paz S,Ahmedzai SH,Rawson A,Wragg D

    更新日期:2003-09-01 00:00:00

  • A study comparing hyoscine hydrobromide and glycopyrrolate in the treatment of death rattle.

    abstract::This study looked at the efficacy of drug treatment in managing death rattle in a 30-bedded specialist palliative care unit. The study was conducted in two phases. In the first, patients received hyoscine hydrobromide as the antimuscarinic; glycopyrrolate was used in the second phase. The patients in the two phases we...

    journal_title:Palliative medicine

    pub_type: 临床试验,杂志文章

    doi:10.1191/026921601678320313

    authors: Back IN,Jenkins K,Blower A,Beckhelling J

    更新日期:2001-07-01 00:00:00

  • A survey of prognosis discussions held by health-care providers who request palliative care consultation.

    abstract:BACKGROUND:Patient misunderstandings about prognosis may be related to lack of communication. AIM:This study aimed to examine prognosis discussions held with hospitalized patients for whom palliative care consultations were requested, and if prognosis discussions did not occur, to explore why not. DESIGN:This was a s...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216313514126

    authors: Chang A,Datta-Barua I,McLaughlin B,Daly B

    更新日期:2014-04-01 00:00:00