Is Inpatient Hospice Care Clinically Effective? Using Phase of Illness to Evaluate Care Outcomes for Patients Admitted to a Specialist Palliative Care Unit in Ireland
| Autor: | Val O'Reilly, Siobhain Coffey, Kathy Eagar, John Sheridan, Martina O'Reilly, Declan Walsh, Feargal Twomey, Marian Conroy, David C. Currow, Sue Moran, Michael Lucey, Mairéad Doherty |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Palliative care Psychological intervention Phase (combat) Unit (housing) 03 medical and health sciences 0302 clinical medicine 030502 gerontology Health care medicine Humans Prospective cohort study Intensive care medicine General Nursing Specialist palliative care Hospice care 1103 Clinical Sciences 1110 Nursing 1117 Public Health and Health Services Inpatients business.industry Palliative Care General Medicine Hospitalization Hospice Care Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis 0305 other medical science business Gerontology Ireland |
| Zdroj: | Journal of Palliative Medicine. 23:535-541 |
| ISSN: | 1557-7740 1096-6218 |
| DOI: | 10.1089/jpm.2019.0295 |
| Popis: | Background: In health care, clinical effectiveness involves evaluating the degree to which clinical interventions achieve beneficial patient and caregiver outcomes. Objective: To evaluate the clinical effectiveness of care in a specialist palliative care unit (SPCU) in Ireland, including an analysis of the temporal relationship among admission, Phase of Illness and patient and family distress. Design/Measurements: A consecutive case series with prospectively collected admission data (n = 400). Using a casemix tool (Phase of Illness), pain, other symptoms, psychological and family distress, and performance status were documented on admission and then daily by medical staff. Results: Three hundred forty-two (85%) patients had complete data recorded on day 1. After admission, there were linear correlations between days since admission and progressive improvements in pain (Cramer's V = 0.131, p |
| Databáze: | OpenAIRE |
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