Managing diabetes at the end of life – a retrospective chart audit of two health providers in Queensland, Australia

Alqabandi, Naeema; Haywood, Alison; Kindl, Korana; Khan, Sohil; Good, Phillip; Hardy, Janet

doi:10.1080/09699260.2019.1611721

Progress in Palliative Care

2019

DOI: 10.1080/09699260.2019.1611721

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Managing diabetes at the end of life – a retrospective chart audit of two health providers in Queensland, Australia

Naeema Alqabandi

Alison Haywood

Korana Kindl

et al.

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2024

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Healthcare professionals’ experiences of providing palliative care for patients with diabetes – a qualitative study

Seim,

Monsen,

Kolltveit

et al. 2024

BMC Palliat Care

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Background At present, there are no specific guidelines for the treatment of diabetes in palliative care in Norway. The aim of this study was therefore to explore healthcare professionals’ experiences of providing palliative care to individuals with diabetes in specialist as well as primary care settings. Methods We interviewed 12 healthcare professionals from two palliative care units in specialist healthcare, one hospice unit in a nursing home, and one dietary care unit providing counselling in the municipality in the eastern part of Norway. Thematic analysis was used to analyze the data. Results Our analysis generated three main themes: 1) “Quality of life is the main focus”, which showed that the healthcare professionals’ main focus was on comforting patients through engagement and communication; 2) “An individualized approach”, emphasizing that the treatment was tailored to the unique circumstances of each individual and considered factors such as life expectancy, difficult blood glucose control, and multidisciplinary collaboration, and 3) “Diabetes in the background”, which highlighted that they had a modest focus on diabetes. Diabetes was seen as another aspect of health that they had to be aware of, but their limited knowledge of diabetes guidelines, technical tools, and treatment choices underscored that attentiveness to the diabetes treatment was not prominent. Conclusion The findings show that a lack of guidelines allowed for diverse approaches to the treatment of patients with diabetes in palliative care. Attentiveness to diabetes was based on the individual healthcare professionals’ experience and expertise, professional views, and the circumstances of each individual.

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Healthcare professionals’ experiences of providing palliative care for patients with diabetes – a qualitative study

Seim,

Monsen,

Kolltveit

et al. 2024

BMC Palliat Care

View full text Add to dashboard Cite

show abstract

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Managing diabetes at the end of life – a retrospective chart audit of two health providers in Queensland, Australia

Cited by 1 publication

References 15 publications

Healthcare professionals’ experiences of providing palliative care for patients with diabetes – a qualitative study

Healthcare professionals’ experiences of providing palliative care for patients with diabetes – a qualitative study

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