End of life care: a discursive analysis of specialist palliative care nursing

Skilbeck, Julie; Payne, Sheila

doi:10.1111/j.1365-2648.2005.03503.x

Cited by 54 publications

(46 citation statements)

References 53 publications

(98 reference statements)

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“…make comparisons among studies difficult, these findings are congruent with other studies demonstrating that a range of distressing and readily identifiable problems constitute a common pathway for many individuals at the end of life [6,7,[9][10][11]. These findings thus shed empirical light on a need for healthcare systems to implement a health promotion focus on palliative care as a means to prevent problems of distress at the end of life [16]. In the context of this study, this means careful attention to symptoms and signs, with both frequent assessment and application of care modes aimed at relieving suffering and promoting subjective comfort and well-being during the end-of-life period.…”

Section: Discussionsupporting

confidence: 89%

Clinical problems at the end of life in a Swedish population, including the role of advancing age and physical and cognitive function

Jakobsson

Gaston‐Johansson

Öhlén

et al. 2008

Scand J Public Health

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A range of distressing conditions constitute a common pathway for many individuals at or near the end of life. The incorporation of health promotion as a principle of palliative care will probably benefit individuals at the end of life, and includes a proactive focus and emphasis on enhanced well-being at the time of diagnosis of a life-threatening illness. For individuals with physical and cognitive limitations imparting a state of dependency, it is reasonable to provide assurance of care for individuals' specific needs by professionals with both training for and competence in this special and sometimes unique clinical environment.

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Section: Discussionsupporting

confidence: 89%

Clinical problems at the end of life in a Swedish population, including the role of advancing age and physical and cognitive function

Jakobsson

Gaston‐Johansson

Öhlén

et al. 2008

Scand J Public Health

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show abstract

“…These consequences can be either a positive or negative experience for patients. Positive experiences for patients include feeling cared for and having their needs met; [27,46] being informed [27,47-50] and being supported [27,48]. Negative experiences include pain and symptom control needs not met [51,52] not having their needs met and not being supported, [27,42,43] as wellbeing unable to manage, particular in relation to activities of daily living [10].…”

Section: Resultsmentioning

confidence: 99%

An exploration of self-management support in the context of palliative nursing: a modified concept analysis

et al. 2014

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BackgroundThe role of self-management is often ambiguous, yet, it is an important area in clinical practice for palliative nurses. A clear conceptual understanding, however, of what it represents is lacking.MethodThis paper reports an analysis of the concept of self-management support in palliative nursing.Avant and Walker’s method was used to guide this concept analysis.A search of electronic databases (1990–2013), use of internet search engines and supplementary hand searching produced an international data set of reviews, empirical research, editorials, protocols and guidelines.ResultsBased on the analysis self-management support in palliative nursing has been defined as assessing, planning, and implementing appropriate care to enable the patient to live until they die and supporting the patient to be given the means to master or deal with their illness or their effects of their illness themselves.ConclusionsClarity with the concept of self-management support and palliative nursing could enable nurses to provide more patient and family centred care to people facing life threatening illnesses.

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“…Previous studies reported that home visiting nurses were able to perform their roles as effectively for clients in the terminal stage [29, 30]. Home visiting nursing service can provide clients and families not only pain management and the most suitable care to clients with unstable illness, but also mental care.…”

Section: Discussionmentioning

confidence: 99%

Identification of the need for home visiting nurse: development of a new assessment tool

Taguchi¹,

Nagata²,

Naruse³

et al. 2014

Int J Integr Care

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Objective: To develop a Home Visiting Nursing Service Need Assessment Form (HVNS-NAF) to standardize the decision about the need for home visiting nursing service. Methods:The sample consisted of older adults who had received coordinated services by care managers. We defined the need for home visiting nursing service by elderly individuals as the decision of the need by a care manager so that the elderly can continue to live independently. Explanatory variables included demographic factors, medical procedure, severity of illness, and caregiver variables. Multiple logistic regression was carried out after univariate analyses to decide the variables to include and the weight of each variable in the HVNS-NAF. We then calculated the sensitivity and specificity of each cutoff value, and defined the score with the highest sensitivity and specificity as the cutoff value.Results: Nineteen items were included in the final HVNS-NAF. When the cutoff value was 2 points, the sensitivity was 77.0%, specificity 68.5%, and positive predictive value 56.8%.Conclusions: HVNS-NAF is the first validated standard based on characteristics of elderly clients who required home visiting nursing service. Using the HVNS-NAF may result in reducing the unmet need for home visiting nursing service and preventing hospitalization.

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End of life care: a discursive analysis of specialist palliative care nursing

Cited by 54 publications

References 53 publications

Clinical problems at the end of life in a Swedish population, including the role of advancing age and physical and cognitive function

Clinical problems at the end of life in a Swedish population, including the role of advancing age and physical and cognitive function

An exploration of self-management support in the context of palliative nursing: a modified concept analysis

Identification of the need for home visiting nurse: development of a new assessment tool

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