Anticipatory prescribing at the end of life in Lothian care homes
| Autor: | Barbara Stevenson, Dorothy McArthur, Anne Finucane, Scott A Murray, Hilary Gardner |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Community and Home Care
Terminal Care medicine.medical_specialty Palliative care Nausea business.industry Care homes Psychological intervention General Medicine Drug Prescriptions Nursing Homes Nursing care Distress Scotland Nursing Family medicine medicine Anxiety medicine.symptom Medical prescription business |
| Zdroj: | British Journal of Community Nursing. 19:544-547 |
| ISSN: | 2052-2215 1462-4753 |
| DOI: | 10.12968/bjcn.2014.19.11.544 |
| Popis: | Common symptoms at the end of life include pain, breathlessness, anxiety, respiratory secretions and nausea. National end-of-life care strategies advocate anticipatory prescribing for timely management of these symptoms to enhance patient care by preventing unnecessary distress. This study investigated the extent to which residents in eight Lothian care homes had anticipatory medications prescribed prior to death. Data were collected as part of a service development project to improve palliative care in nursing care homes in Edinburgh. Of the 77 residents who died in the care homes, 54% had anticipatory medicines prescribed. Only 15% had prescriptions for all four nationally recommended anticipatory medications. Many care home residents do not have the recommended anticipatory medications in place in the last days of life and thus may experience inadequate symptom control. Interventions that increase the availability of anticipatory medicines to manage common symptoms at the end of life for care home residents are required. |
| Databáze: | OpenAIRE |
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