A Retrospective Study of the Factors Tended to Transfer to Palliative Home Care from Palliative Care Unit at A Comprehensive Cancer Center in Japan

Miura, Tomofumi; Matsumoto, Yoshihisa; Okizaki, Ayumi; Oishi, Marie; Motonaga, Shinya; Higashi, Yotsuo; Sekimoto, Asuko; Abe, Keiko; Fukui, Makoto; Kinoshita, Hiroya

doi:10.1016/s0923-7534(20)33990-9

Cited by 2 publications

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“…With respect to the factors related to the duration of the temporary discharge, signi cant variables were found to be almost similar to those of a previous study that explored factors related to discharge from a PCU [16][17][18]. In addition, the results of the circumstances of the patients and family caregivers during the temporary discharge revealed that most patients were in desirable circumstances, which were almost similar to the factors that would contribute to home death [19].…”

Section: Discussionsupporting

confidence: 77%

Experience of temporary discharge from the inpatient palliative care unit: A nationwide post-bereavement survey for end-of-life cancer patients

Sekimoto¹,

Aso

Hayashi

et al. 2021

Preprint

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Background: Some patients admitted to an inpatient palliative care unit (PCU), and who were discharged temporarily to home, later died at the PCU. The experiences of these patients and their families during temporary discharge are unclear.Methods: This study was part of a nationwide post-bereavement survey, the Japan Hospice and Palliative Care Evaluation 3 study. We sent questionnaires to the bereaved relatives of cancer patients who died in a PCU in 2018.Results: Of the 968 questionnaires sent, 571 (59%) were analyzed. Sixteen percent of the patients experienced temporary discharge from the PCU. Seventy-two percent of the bereaved family reported that the patients said, “I am happy to be discharged to home.” Between 22% and 37% of the patients reported an improvement in their condition after discharge. Family caregivers’ recognition of the better quality of the patient’s life at home and hospital doctors’ assurances of re-hospitalization whenever necessary, were significantly associated with positive experiences of temporary discharge.Conclusion: Bereaved family members recognized temporary discharge as a positive experience for both the patient and the family. Appropriate home palliative care and discharge planning contribute to positive experiences after discharge.

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Section: Discussionsupporting

confidence: 77%

Experience of temporary discharge from the inpatient palliative care unit: A nationwide post-bereavement survey for end-of-life cancer patients

Sekimoto¹,

Aso

Hayashi

et al. 2021

Preprint

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“…High level of independence was one of the characteristics of patients who were temporarily discharged home from the PCU. Better performance status is reported as a factor for facilitating discharge from the PCU (Fainsinger et al, 2000; Miura et al, 2013). In the present study, it seems reasonable to consider that the high level of independence of patients made the temporary discharge possible as well as a factor that contributed to achieving good death.…”

Section: Discussionmentioning

confidence: 99%

Association between temporary discharge from the inpatient palliative care unit and achievement of good death in end‐of‐life cancer patients: A nationwide survey of bereaved family members

Aso

Hayashi

Sekimoto³

et al. 2022

Japan Journal Nursing Sci

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Aim: To explore the unclear association between temporary discharge home from the palliative care unit and achievement of good death, in the background of increases in discharge from the palliative care unit. Association between experiences and circumstances of patient and family and duration of temporary discharge was also examined. Methods: This study was a secondary analysis of data from a nationwide postbereavement survey. Results: Among 571 patients, 16% experienced temporary discharge home from the palliative care unit. The total good death inventory score (p < .05) and sum of 10 core attributes (p < .05) were significantly higher in the temporarily discharged and stayed home ≥2 weeks group. Among all attributes, "Independent in daily activities" (p < .001) was significantly better in the temporarily discharged and stayed home ≥2 weeks group. Regarding the experience and circumstance of patient and family, improvement of patient's appetite (p < .05), and sleep (p < .05) and peacefulness (p < .05) of family caregivers,

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A Retrospective Study of the Factors Tended to Transfer to Palliative Home Care from Palliative Care Unit at A Comprehensive Cancer Center in Japan

Cited by 2 publications

References 0 publications

Experience of temporary discharge from the inpatient palliative care unit: A nationwide post-bereavement survey for end-of-life cancer patients

Experience of temporary discharge from the inpatient palliative care unit: A nationwide post-bereavement survey for end-of-life cancer patients

Association between temporary discharge from the inpatient palliative care unit and achievement of good death in end‐of‐life cancer patients: A nationwide survey of bereaved family members

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