Emergency department use among end-of-life home care clients.
作者： Peter Brink , Lorraine Partanen
DOI: 10.1177/082585971102700307
关键词: Multivariate analysis 、 Sample (statistics) 、 Service planning 、 Task (project management) 、 Palliative care 、 Medical emergency 、 Emergency department 、 Excessive weight loss 、 Medicine
摘要: Emergency department (ED) use is a quality-of-care indicator for community-based end-of-life (EOL) care. This study examined ED by EOL home care clients. The sample included all clients who received from one community access centre in Ontario, Canada. Information on health was gathered using the interRAI instrument palliative Data were collected between May 2009 and January 2010. 93 Results showed that 35 percent of used within 45 days assessment. Multivariate analysis identified two determinants use: excessive weight loss previous hospitalization. Managing terminal illness often difficult task, comprehensive, ongoing assessment clients' changing status critical. Client service planning have lost amounts or been recently hospitalized need to be monitored closely prevent any future avoidable use.
sagepub.com
sci-hub.se 参考文章(24)
K. B. Willison, G. Howarth, Preventing crises in palliative care in the home. Role of family physicians and nurses. Canadian Family Physician. ,vol. 41, pp. 439- 445 ,(1995)
J. N. Morris, B. E. Fries, D. R. Mehr, C. Hawes, C. Phillips, V. Mor, L. A. Lipsitz, MDS Cognitive Performance Scale Journal of Gerontology. ,vol. 49, ,(1994) , 10.1093/GERONJ/49.4.M174
Mette Asbjoern Neergaard, Frede Olesen, Anders Bonde Jensen, Jens Sondergaard, Palliative care for cancer patients in a primary health care setting: Bereaved relatives' experience, a qualitative group interview study. BMC Palliative Care. ,vol. 7, pp. 1- 8 ,(2008) , 10.1186/1472-684X-7-1
H.J.N. Andreyev, A.R. Norman, J. Oates, D. Cunningham, Why do patients with weight loss have a worse outcome when undergoing chemotherapy for gastrointestinal malignancies European Journal of Cancer. ,vol. 34, pp. 503- 509 ,(1998) , 10.1016/S0959-8049(97)10090-9
J Smith, B Malinauskas, K Garner, K Barber-Heidal, Factors contributing to weight loss, nutrition-related concerns and advice received by adults undergoing cancer treatment. Advances in Medical Sciences. ,vol. 53, pp. 198- 204 ,(2008) , 10.2478/V10039-008-0019-7
K Robin Yabroff, Jeanne S Mandelblatt, Jane Ingham, The quality of medical care at the end-of-life in the USA: existing barriers and examples of process and outcome measures Palliative Medicine. ,vol. 18, pp. 202- 216 ,(2004) , 10.1191/0269216304PM880OA
Bruce J Naughton, Maureen B Moran, Hayssam Kadah, Yolanda Heman-Ackah∥, John Longano, Delirium and Other Cognitive Impairment in Older Adults in an Emergency Department Annals of Emergency Medicine. ,vol. 25, pp. 751- 755 ,(1995) , 10.1016/S0196-0644(95)70202-4
Garrett K. Chan, End-of-life Models and Emergency Department Care Academic Emergency Medicine. ,vol. 11, pp. 79- 86 ,(2004) , 10.1197/J.AEM.2003.07.019
J Townsend, A O Frank, D Fermont, S Dyer, O Karran, A Walgrove, M Piper, Terminal cancer care and patients' preference for place of death: a prospective study. BMJ. ,vol. 301, pp. 415- 417 ,(1990) , 10.1136/BMJ.301.6749.415
Patricia O'Gorman, Donald C. McMillan, Colin S. McArdle, Impact of weight loss, appetite, and the inflammatory response on quality of life in gastrointestinal cancer patients Nutrition and Cancer. ,vol. 32, pp. 76- 80 ,(1998) , 10.1080/01635589809514722