Place of Death

Dasch, Burkhard; Blum, Klaus; Gude, Philipp; Bausewein, Claudia

doi:10.3238/arztebl.2015.0496

Cited by 85 publications

(73 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The palliative care needs were developed by the research based on literature reviews consisting of 13 items. It asks about different of needs: information (item 1-3), physical (item 4-7), emotional/spiritual (items 8-10) and social supports (item [11][12][13]. Each item represents one need of cancer patients and scale was rated on a scale from 1 (not importance) to 5 (very importance).…”

Section: Measurementmentioning

confidence: 99%

“…The ultimate goal is to provide patients and families with the best QOL during the trajectory of diseases [11]. The data from previous studies showed that many terminally ill patients would prefer to stay and die in their own homes, but unfortunately some of patients may not be able to do so [11][12][13][14]. Evidence has presented many benefits of home care for palliative care patients.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Needs of patient with advanced stages of cancer in a Thai community

Krongyuth

Viwatwongkasem

Campbell

2018

JHR

View full text Add to dashboard Cite

Purpose-The purpose of this paper is to explore the needs of people with cancer in advanced stages and to analyze factors that influence them. Design/methodology/approach-A concurrent mixed-method design was used. Descriptive design was conducted in Ubon Ratchathani Province, Thailand. Data were collected from a convenience sample of patients with advanced cancer of any tissue or organ. Questionnaires were completed by 110 patients aged 60 years and above (response rate 110/130 ¼ 84.6 percent). In-depth interviews were conducted with a total of eight patients. Content analysis of semi-structured interviews of a sub-sample was subsequently performed to better understand the real needs of patients with advanced stages of cancer at home setting. Findings-The majority (77.5 percent) reported a preference to spend their final days at home. The four most common palliative care needs were more information about disease and medical treatment (98.2 percent), more treatment for pain (97.3 percent), health education for family caregivers (95.5 percent) and health volunteers visit at home (95.5 percent). Content analysis of the qualitative data suggested that patient needs health care providers to deliver open communication, pain management and provide psychosocial supports. Originality/value-The result showed that patients-related variables are associated with the palliative care needs in patients with advanced stages of cancer. Communication skills and pain management are the key components to support the need for palliative care at home and to benefit the quality of life in terminally ill patients.

show abstract

Section: Measurementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Needs of patient with advanced stages of cancer in a Thai community

Krongyuth

Viwatwongkasem

Campbell

2018

JHR

View full text Add to dashboard Cite

show abstract

“…Patient preferences for home as the place of care, at 37-63%, were surprisingly lower than expected in comparison with preferences for the hospital, at 28-53%, which were higher than assumed. However, these results confirm the tendency of a broadly acknowledged higher preference for a home death [3][4][5][6]. A systematic review of the United Kingdom literature highlighted a contrasting view of patient preferences, concluding that patients' preferred POD is unknown because of large amounts of missing data and the handling of these missing data.…”

Section: Preferences For the Place Of Carementioning

confidence: 53%

Impact on place of death in cancer patients: a causal exploration in southern Switzerland

Kern

Corani

Huber

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Most terminally ill cancer patients prefer to die at home, but a majority die in institutional settings. Research questions about this discrepancy have not been fully answered. This study applies artificial intelligence and machine learning techniques to explore the complex network of factors and the cause-effect relationships affecting the place of death, with the ultimate aim of developing policies favouring home-based end-of-life care.Methods A data mining algorithm (a classifier) and a causal probabilistic model (a credal network) for data analysis were developed with information derived from expert knowledge that was merged with data from 116 deceased cancer patients in southern Switzerland. This data set was obtained via a retrospective clinical chart review.Results Dependencies of disease and treatment-related decisions demonstrate an influence on the place of death of 13%. Anticancer treatment in advanced disease prevents or delays communication about the end of life between oncologists, patients and families. Unknown preferences for the place of death represent a great barrier to a home death. A further barrier is the limited availability of family caregivers for terminal home care. The family’s preference for the last place of care has a high impact on the place of death of 51%, while the influence of the patient’s preference is low, at 14%. Approximately one-third of family systems can be empowered by health care professionals to provide home care through open end-of-life communication and good symptom management. Such intervention has an influence on the place of death of 17%. If families express a convincing preference for home care, the involvement of a specialist palliative home care service can increase the probability of home deaths by 24%.Conclusion Concerning death at home, open communication about death and dying is essential. Furthermore, for the patient preference for home care to be respected, the family’s decision for the last place of care seems to be key. The early initiation of family-centred palliative care and the provision of specialist palliative home care for patients who wish to die at home are suggested.

show abstract

“…The data from previous studies showed that many terminally ill patients would prefer to stay and die in their own homes, but unfortunately, some patients may not be able to do so. [1][2][3][4][5][6] Even though there are many factors associated with successful home deaths (ie, the patient's or family's preference, the patient's performance status during the last days, the patient's awareness of the disease status and prognosis), receiving palliative home visits from the multidisciplinary care teams is one of the key factors that enable patients to die at home. [7][8][9][10][11] Previous evidence has supported many benefits of home care for palliative care patients.…”

Section: Introductionmentioning

confidence: 99%