Identifying Persons with Diabetes Who Could Benefit from a Palliative Approach to Care
| Autor: | Lynn Lethbridge, David C. Henderson, Margaret Dunbar, Grace Johnston, Pam Talbot, Anne Frances D’Intino, Laura Jewell, Paul McIntyre |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Palliative care Endocrinology Diabetes and Metabolism Cardiovascular health Population Primary care Endocrinology Diabetes management Diabetes mellitus Diabetes Mellitus Internal Medicine medicine Humans education Intensive care medicine Retrospective Studies Health Services Needs and Demand education.field_of_study business.industry Palliative Care General Medicine medicine.disease 3. Good health Nova Scotia Chronic disease Family medicine Female Care program business |
| Zdroj: | Canadian Journal of Diabetes. 39:29-35 |
| ISSN: | 1499-2671 |
| DOI: | 10.1016/j.jcjd.2014.01.009 |
| Popis: | Objective To determine the need for diabetes mellitus palliative care, we identified persons with a diagnosis of diabetes who accessed palliative care programs and those who may have benefited from a palliative approach to care. Methods This retrospective, descriptive research used 6 linked databases comprising 66 634 Nova Scotians from 3 health districts who died between 1995 and 2009, each with access to a palliative care program and diabetes centres. Results The percentage of persons with diabetes enrolled in palliative care increased from 3.2% in 1995 to 34.3% in 2009; 31.5% were enrolled within their last 2 weeks of life. Most did not have their diabetes recorded in palliative data. Among the 5353 persons with a diagnosis of diabetes who died between 2005 and 2009, 61.0% were in the Diabetes Care Program of Nova Scotia registry. An additional 19.6% were identified in the Cardiovascular Health Nova Scotia registry, and a further 3.7% in palliative data. Applying the criteria of Rosenwax et al to the 5353, 65.8% to 97.9% may have benefitted from a palliative approach. Conclusions Rates of palliative enrollment for persons with diabetes are increasing. Diabetes care providers need to prepare patients and their families for changes in diabetes management that will be beneficial as end of life approaches. Collaboration among chronic disease programs, palliative care and primary care is advised to identify persons at end of life who have diabetes and to develop and implement care guidelines for this population. |
| Databáze: | OpenAIRE |
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