Changing characteristics of patients with palliative care needs in acute hospitals.

Autor: Atkinson, Kate Alexandra, Spriggs, Helena, Hall, Hannah, Armstrong, Leonie, Frew, Katherine
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Zdroj: International Journal of Palliative Nursing; Jul2023, Vol. 29 Issue 7, p322-325, 4p
Abstrakt: Background: Palliative care services drastically changed over the course of the COVID-19 pandemic between the years 2020 to 2022. Aim: To report on the changes in a specialist palliative care hospital liaison service (SPCHLS) during the COVID-19 pandemic, and consider the impact of this for longer term service modelling. Methods: A retrospective analysis of patients admitted via the emergency department (ED) in January 2020 and 2021, who were given a palliative care 'code' at the end of their episode of care. Data were collected using electronic records and descriptive statistics were used. Findings: The total number of patients seen in the ED increased by 30%, with a 185% increase in death as an outcome of admission. A total of 50% of patients were seen by a member of the SPCHLS in the ED in 2021, compared to just 28% in 2020. There was a 46% increase in the number of patients transferred to a Specialist Palliative Care Unit. Conclusions: Delayed diagnoses, long waiting times and changing community services lead to increased pressure and a requirement to meet palliative care needs in acute hospitals. There is a growing need for acute palliative care services to meet the needs of the population. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index