Literature DB >> 15984506

The last days of life of nursing home patients with and without dementia assessed with the palliative care outcome scale.

Hella E Brandt1, Luc Deliens, Jenny T van der Steen, Marcel E Ooms, Miel W Ribbe, Gerrit van der Wal.   

Abstract

UNLABELLED: The aim of this study was to assess the Palliative care Outcome Scale (POS) for terminally ill nursing home (NH) patients in the Netherlands.
METHODS: A prospective observational study of patients with a life-expectancy of six weeks or less in 16 Dutch NHs. NH staff rated the patient characteristics and measured palliative care with the POS, including items on physical, psychosocial, informational, spiritual and practical aspects.
RESULTS: POS nonscores (not applicable; unknown) were mainly found in the psychosocial and spiritual domains, particularly in patients with dementia. Mean scores for non-demented patients and patients with dementia were favourable for the majority of the POS items.
CONCLUSION: According to the NH staff, fairly good quality care was provided, but the psychosocial and spiritual aspects of care need to be addressed more in the last days of the dying NH patient's life. The results indicate that the POS is an appropriate instrument to assess not only cancer patients, but also non-cancer and (moderately) severely demented patients.

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Year:  2005        PMID: 15984506     DOI: 10.1191/0269216305pm1018oa

Source DB:  PubMed          Journal:  Palliat Med        ISSN: 0269-2163            Impact factor:   4.762


  12 in total

1.  Clinical signs of impending death in cancer patients.

Authors:  David Hui; Renata dos Santos; Gary Chisholm; Swati Bansal; Thiago Buosi Silva; Kelly Kilgore; Camila Souza Crovador; Xiaoying Yu; Michael D Swartz; Pedro Emilio Perez-Cruz; Raphael de Almeida Leite; Maria Salete de Angelis Nascimento; Suresh Reddy; Fabiola Seriaco; Sriram Yennu; Carlos Eduardo Paiva; Rony Dev; Stacy Hall; Julieta Fajardo; Eduardo Bruera
Journal:  Oncologist       Date:  2014-04-23

Review 2.  Forget me not: palliative care for people with dementia.

Authors:  Dylan Harris
Journal:  Postgrad Med J       Date:  2007-06       Impact factor: 2.401

3.  Symptoms and quality of life in late stage Parkinson syndromes: a longitudinal community study of predictive factors.

Authors:  Irene J Higginson; Wei Gao; Tariq Zaffer Saleem; K Ray Chaudhuri; Rachel Burman; Paul McCrone; Peter Nigel Leigh
Journal:  PLoS One       Date:  2012-11-07       Impact factor: 3.240

4.  Psychometric properties of instruments to measure the quality of end-of-life care and dying for long-term care residents with dementia.

Authors:  Mirjam C van Soest-Poortvliet; Jenny T van der Steen; Sheryl Zimmerman; Lauren W Cohen; Maartje S Klapwijk; Mirjam Bezemer; Wilco P Achterberg; Dirk L Knol; Miel W Ribbe; Henrica C W de Vet
Journal:  Qual Life Res       Date:  2011-08-05       Impact factor: 4.147

5.  Choosing care homes as the least preferred place to die: a cross-national survey of public preferences in seven European countries.

Authors:  Natalia Calanzani; Katrien Moens; Joachim Cohen; Irene J Higginson; Richard Harding; Luc Deliens; Franco Toscani; Pedro L Ferreira; Claudia Bausewein; Barbara A Daveson; Marjolein Gysels; Lucas Ceulemans; Barbara Gomes
Journal:  BMC Palliat Care       Date:  2014-10-23       Impact factor: 3.234

6.  The selection and use of outcome measures in palliative and end-of-life care research: the MORECare International Consensus Workshop.

Authors:  Catherine J Evans; Hamid Benalia; Nancy J Preston; Gunn Grande; Marjolein Gysels; Vicky Short; Barbara A Daveson; Claudia Bausewein; Chris Todd; Irene J Higginson
Journal:  J Pain Symptom Manage       Date:  2013-04-28       Impact factor: 3.612

7.  Effectiveness of the palliative care 'Availability, Current issues and Anticipation' (ACA) communication training programme for general practitioners on patient outcomes: a controlled trial.

Authors:  Willemjan Slort; Annette H Blankenstein; Bart P M Schweitzer; Dirk L Knol; Henriëtte E van der Horst; Neil K Aaronson; Luc Deliens
Journal:  Palliat Med       Date:  2014-06-20       Impact factor: 4.762

Review 8.  Informed palliative care in nursing homes through the interRAI Palliative Care instrument: a study protocol based on the Medical Research Council framework.

Authors:  Kirsten Hermans; Nele Spruytte; Joachim Cohen; Chantal Van Audenhove; Anja Declercq
Journal:  BMC Geriatr       Date:  2014-12-05       Impact factor: 3.921

9.  Palliative patients cared for at home by PAMINO-trained and other GPs - health-related quality of life as measured by QLQ-C15-PAL and POS.

Authors:  Katja Hermann; Peter Engeser; Joachim Szecsenyi; Antje Miksch
Journal:  BMC Palliat Care       Date:  2012-08-21       Impact factor: 3.234

10.  Caregiver assessment of patients with advanced cancer: concordance with patients, effect of burden and positivity.

Authors:  Irene J Higginson; Wei Gao
Journal:  Health Qual Life Outcomes       Date:  2008-06-02       Impact factor: 3.186

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