Dying to Pay: The Cost of End-of-Life Care

Chochinov, Harvey Max; Kristjanson, Linda J.

doi:10.1177/082585979801400402

Cited by 52 publications

(24 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1996). There has been a rapid growth in the number of PC services, for patients with advanced cancer, provided by a varying composition of care providers (Chochinov & Kristjanson 1998; Hearn & Higginson 1998).…”

Section: Introductionmentioning

confidence: 99%

Cancer patients' experiences of care related to pain management before and after palliative care referral

et al. 2004

View full text Add to dashboard Cite

Cancer patients' experiences of care related to pain management before and after palliative care referral Pain is the main problem for patients with cancer referred to palliative care (PC). Pain management in PC requires a multidimensional approach. A questionnaire was used to determine cancer patients' experiences of care related to pain management, before and after being referred to PC, and to also discover possible correlations between pain control and other aspects of care. Seventy-five consecutive patients from two PC teams were included in the study. The patients had experienced a statistically significant ( P < 0.01) improvement in care after being referred to PC, despite the fact that pain control had not been optimized. Patients' description of 'pain control' after being referred to PC had a statistically significant correlation with their 'feeling of security' and 'continuity of care' throughout the same period. The conclusion is that care provided in PC is vital to successful pain management. Pain control depends not only on analgesics but also on many other aspects of care provided by the nurse. Continuity of care and the opportunity to talk increases the patients' feeling of security, which is also of utmost importance to successful pain management.

show abstract

Section: Introductionmentioning

confidence: 99%

Cancer patients' experiences of care related to pain management before and after palliative care referral

et al. 2004

View full text Add to dashboard Cite

show abstract

“…This study elucidated that the higher an individual's income is, the higher their need for care is. Support for at-home palliative care is more easily available for patients from higher income families (Chochinov & Kristjanson, 1998). However, we assumed higher income patients or families who utilized various palliative care services might not have their care needs met sufficiently.…”

Section: Discussionmentioning

confidence: 99%

End‐of‐life care needs for noncancer patients who want to die at home in South Korea

Lee

et al. 2020

Int J of Nursing Practice

View full text Add to dashboard Cite

Aim The awareness for the need for end‐of‐life care has increased among noncancer patients. However, studies on the topic have rarely targeted the needs of noncancer patients who want to die at home. This study assessed the end‐of‐life care needs of noncancer patients who were receiving care and wanted to die at home. Methods A cross‐sectional study design was used and involved 200 participants who were diagnosed as noncancer patients and receiving home care nursing. Data were collected on demographics, disease, Palliative Performance Scale (PPS) scores, and end‐of‐life care needs, in April and May, 2016. Results Among the six areas of care, “supporting fundamental needs” of patients required the most care, followed by “coordination among family or relatives.” Multivariate analysis revealed that the duration of home care nursing held a significant association with end‐of‐life care needs. Conclusion By reflecting on the comprehensive care needs of patients with chronic illnesses and including them in the care process, it will be possible to provide better quality palliative care to patients at home in the end‐of‐life stages.

show abstract

“…The costs of health care are rising rapidly all over the world, so that the question of expensive treatments in end-of-life care is one of the key topics in medical ethics [4,25]. However, palliative care is relatively cheap.…”

Section: Costs Of Pain Medicationmentioning

confidence: 99%

Assessment of pain control in cancer patients during the last week of life: comparison of health centre wards and a hospice

Hinkka¹,

Kosunen

Kellokumpu‐Lehtinen

et al. 2001

Support Care Cancer

View full text Add to dashboard Cite

The aim of this prospective study was to assess the quality of cancer pain control during the last week of life in two different types of units for terminal cancer patients in Finland: on health centre wards (N=20) and in a hospice (N=30). Pain scores (VAS), defined daily doses (DDD), routes of administration and costs of pain medication were analysed for each patient. On the 7th-last day before death and during the very last day of life (24 h), respectively, the following results were seen: proportions of patients using strong opioids 64% and 84%, mean equivalent parenteral morphine doses of strong opioids 42 mg and 57 mg, mean pain scores (VAS 0-10) 3.11 and 3.05, mean daily cost of pain medication 2.22 and 2.90 euros. Pain control was thus found to be good with low costs. On the 7th day before death strong opioids were used for a greater proportion of patients on the health centre wards. Differences were also seen in the routes of administration used for strong opioids. Weak opioids were used more in the hospice and NSAIDs, more on the health centre wards. However, no differences were found either in the mean doses of strong opioids or in the quality or the costs of pain control between the health centre wards and the hospice.

show abstract

Dying to Pay: The Cost of End-of-Life Care

Cited by 52 publications

References 48 publications

Cancer patients' experiences of care related to pain management before and after palliative care referral

Cancer patients' experiences of care related to pain management before and after palliative care referral

End‐of‐life care needs for noncancer patients who want to die at home in South Korea

Assessment of pain control in cancer patients during the last week of life: comparison of health centre wards and a hospice

Contact Info

Product

Resources

About