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Palliative care dur...
Palliative care during the final week of life of older people in nursing homes : A register-based study
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- Smedback, Jonas (författare)
- Ersta Sköndal högskola,Institutionen för vårdvetenskap,Ersta Sköndal Bräcke University College, Sweden
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- Öhlén, Joakim, 1958 (författare)
- Gothenburg University,Ersta Sköndal högskola,University of Gothenburg,Palliativt forskningscentrum, PFC,Göteborgs universitet,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för vårdvetenskap och hälsa,University of Gothenburg Centre for person-centred care (GPCC),Institute of Health and Care Sciences,University of Gothenburg, Sweden;Ersta Sköndal Bräcke University College, Sweden
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- Årestedt, Kristofer, 1968- (författare)
- Ersta Sköndal högskola,Linnaeus University,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Ersta Sköndal Bräcke University College, Sweden,Palliativt forskningscentrum, PFC
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- Alvariza, Anette (författare)
- Ersta Sköndal högskola,Karolinska Institute,Palliativt forskningscentrum, PFC,Capio Palliativ vård Dalen sjukhus, Stockholm; Karolinska institutet,Ersta Sköndal Bräcke University College, Sweden;Dalen Hospital, Sweden; Karolinska Institutet, Sweden
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- Fürst, Carl Johan (författare)
- Lund University,Lunds universitet,Bröstcancer-genetik,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Palliativt Utvecklingscentrum,Forskargrupper vid Lunds universitet,Breastcancer-genetics,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,The Institute for Palliative Care,Lund University Research Groups,Lund University, Sweden
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- Hakanson, Cecilia (författare)
- Ersta Sköndal högskola,Karolinska Institute,Institutionen för vårdvetenskap,Ersta Sköndal Bräcke högskola, Palliativt forskningscentrum, PFC,Ersta Sköndal Bräcke University College, Sweden;Karolinska Institutet, Sweden
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(creator_code:org_t)
- Cambridge University Press, 2017
- 2017
- Engelska.
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Ingår i: Palliative & Supportive Care. - : Cambridge University Press. - 1478-9515 .- 1478-9523. ; 15:4, s. 417-424
- Relaterad länk:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Objective: Our aim was to explore the presence of symptoms, symptom relief, and other key aspects of palliative care during the final week of life among older people residing in nursing homes. Method: Our study employed data from the Swedish Palliative Care Register on all registered individuals aged 60 and older who had died in nursing homes during the years 2011 and 2012. Variables pertaining to monitoring and treatment of symptoms, end-of-life discussions, circumstances around the death, and the individual characteristics of deceased individuals were explored using descriptive statistics. Results: The most common underlying causes of death among the 49,172 deceased nursing home residents were circulatory diseases (42.2%) and dementia (22.7%). The most prevalent symptom was pain (58.7%), followed by rattles (42.4%), anxiety (33.0%), confusion (21.8%), shortness of breath (14.0%), and nausea (11.1%). Pain was the symptom with the highest degree of total relief (46.3%), whereas shortness of breath and confusion were totally relieved in 6.1 and 4.3% of all individuals, respectively. The use of valid instruments for symptom assessment was reported for pain in 12.3% and for other symptoms in 7.8% of subjects. The most prevalent individual prescriptions for injection PRN (pro re nata, according to circumstances) were for pain treatment (79.5%) and rattles (72.8%). End-of-life discussions were performed with 27.3% of all the deceased individuals and with 53.9% of their relatives. Of all individuals, 82.1% had someone present at death, and 15.8% died alone. Of all the nursing home resident deaths recorded, 45.3% died in their preferred place. Significance of results: There were large variations in degree of relief from different symptoms during the final week of life. Pain was the most prevalent symptom, and it was also the symptom with the highest proportion of total/partial relief. Other symptoms were less prevalent but also less well-relieved. Our results indicate a need for improvement of palliative care in nursing home settings, focusing on management of distressing symptoms and promotion of end-of-life discussions.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
Nyckelord
- End of life
- Nursing home
- Older people
- Palliative care
- Quality of care
- Symptom relief
- Health and Caring Sciences
- Hälsovetenskap
- End of life
- Nursing home
- Older people
- Palliative care
- Quality of care
- Symptom relief
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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