Sökning: onr:"swepub:oai:DiVA.org:umu-73073" >
International palli...
International palliative care experts' view on phenomena indicating the last hours and days of life
-
Benedetti, Franzisca Domeisen (författare)
-
Ostgathe, Christoph (författare)
-
Clark, Jean (författare)
-
visa fler...
-
Costantini, Massimo (författare)
-
Daud, Maria Laura (författare)
-
Grossenbacher-Gschwend, Barbara (författare)
-
Latten, Richard (författare)
-
- Lindqvist, Olav (författare)
- Karolinska Institutet,Umeå universitet,Institutionen för omvårdnad
-
Peternelj, Andreja (författare)
-
Schuler, Stefanie (författare)
-
Tal, Kali (författare)
-
van der Heide, Agnes (författare)
-
Eychmueller, Steffen (författare)
-
visa färre...
-
(creator_code:org_t)
- 2012-12-15
- 2013
- Engelska.
-
Ingår i: Supportive Care in Cancer. - : Springer Science and Business Media LLC. - 0941-4355 .- 1433-7339. ; 21:6, s. 1509-1517
- Relaterad länk:
-
https://www.openacce...
-
visa fler...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
http://kipublication...
-
visa färre...
Abstract
Ämnesord
Stäng
- Providing the highest quality care for dying patients should be a core clinical proficiency and an integral part of comprehensive management, as fundamental as diagnosis and treatment. The aim of this study was to provide expert consensus on phenomena for identification and prediction of the last hours or days of a patient's life. This study is part of the OPCARE9 project, funded by the European Commission's Seventh Framework Programme. The phenomena associated with approaching death were generated using Delphi technique. The Delphi process was set up in three cycles to collate a set of useful and relevant phenomena that identify and predict the last hours and days of life. Each cycle included: (1) development of the questionnaire, (2) distribution of the Delphi questionnaire and (3) review and synthesis of findings. The first Delphi cycle of 252 participants (health care professionals, volunteers, public) generated 194 different phenomena, perceptions and observations. In the second cycle, these phenomena were checked for their specific ability to diagnose the last hours/days of life. Fifty-eight phenomena achieved more than 80 % expert consensus and were grouped into nine categories. In the third cycle, these 58 phenomena were ranked by a group of palliative care experts (78 professionals, including physicians, nurses, psycho-social-spiritual support; response rate 72 %, see Table 1) in terms of clinical relevance to the prediction that a person will die within the next few hours/days. Twenty-one phenomena were determined to have "high relevance" by more than 50 % of the experts. Based on these findings, the changes in the following categories (each consisting of up to three phenomena) were considered highly relevant to clinicians in identifying and predicting a patient's last hours/days of life: "breathing", "general deterioration", "consciousness/cognition", "skin", "intake of fluid, food, others", "emotional state" and "non-observations/expressed opinions/other". Experts from different professional backgrounds identified a set of categories describing a structure within which clinical phenomena can be clinically assessed, in order to more accurately predict whether someone will die within the next days or hours. However, these phenomena need further specification for clinical use.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Phenomena
- Delphi technique
- Last hours/days of life
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Benedetti, Franz ...
-
Ostgathe, Christ ...
-
Clark, Jean
-
Costantini, Mass ...
-
Daud, Maria Laur ...
-
Grossenbacher-Gs ...
-
visa fler...
-
Latten, Richard
-
Lindqvist, Olav
-
Peternelj, Andre ...
-
Schuler, Stefani ...
-
Tal, Kali
-
van der Heide, A ...
-
Eychmueller, Ste ...
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
och Omvårdnad
- Artiklar i publikationen
-
Supportive Care ...
- Av lärosätet
-
Umeå universitet
-
Karolinska Institutet