The last 3 months of life of cancer patients: Medical aspects and role of home-care services in southern Switzerland

1996 ◽  
Vol 4 (3) ◽  
pp. 180-185 ◽  
Author(s):  
C. Sessa ◽  
E. Roggero ◽  
S. Pampallona ◽  
S. Regazzoni ◽  
M. Ghielmini ◽  
...  
Keyword(s):  
Home Care ◽  
Cancer Patients ◽  
Home Care Services ◽  
Care Services

scholarly journals Planning and clinical role of acute medical home care services for COVID ‐19: consensus position statement by the Hospital‐in‐the‐Home Society Australasia

2020 ◽  
Vol 50 (10) ◽  
pp. 1267-1271
Author(s):  
Penelope A. Bryant ◽  
Benjamin A. Rogers ◽  
Raquel Cowan ◽  
Asha C. Bowen ◽  
James Pollard ◽  
...  
Keyword(s):  
Home Care ◽  
Medical Home ◽  
Home Care Services ◽  
Position Statement ◽  
Clinical Role ◽  
Care Services

Discrepant effect of age on hospice utilization by cancer patients in Taiwan: Hospital versus home care services

2012 ◽  
Vol 26 (5) ◽  
pp. 766-767
Author(s):  
Yu-Tai Lo ◽  
Ru-Yih Chen ◽  
Chun-Nien Wang ◽  
Yen-Shu Chen
Keyword(s):  
Home Care ◽  
Cancer Patients ◽  
Home Care Services ◽  
Care Services ◽  
Effect Of Age

scholarly journals The role of primary care in the organisation of home care services

2013 ◽  
Vol 13 (6) ◽  
Author(s):  
Pemra C. Unalan ◽  
Selçuk Akturan ◽  
Serap Çifçili
Keyword(s):  
Primary Care ◽  
Home Care ◽  
Home Care Services ◽  
Care Services

scholarly journals Symptom trajectories of non-cancer patients in the last six months of life: Identifying needs in a population-based home care cohort

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252814
Author(s):  
Katrin Conen ◽  
Dawn M. Guthrie ◽  
Tara Stevens ◽  
Samantha Winemaker ◽  
Hsien Seow
Keyword(s):  
Home Care ◽  
End Of Life ◽  
Cancer Patients ◽  
Severe Pain ◽  
Home Care Services ◽  
Population Based ◽  
Caregiver Distress ◽  
Shortness Of Breath ◽  
Symptom Trajectories ◽  
Care Services

Introduction The end-of-life symptom prevalence of non-cancer patients have been described mostly in hospital and institutional settings. This study aims to describe the average symptom trajectories among non-cancer patients who are community-dwelling and used home care services at the end of life. Materials and methods This is a retrospective, population-based cohort study of non-cancer patients who used home care services in the last 6 months of life in Ontario, Canada, between 2007 and 2014. We linked the Resident Assessment Instrument for Home Care (RAI-HC) (standardized home care assessment tool) and the Discharge Abstract Databases (for hospital deaths). Patients were grouped into four non-cancer disease groups: cardiovascular, neurological, respiratory, and renal (not mutually exclusive). Our outcomes were the average prevalence of these outcomes, each week, across the last 6 months of life: uncontrolled moderate-severe pain as per the Pain Scale, presence of shortness of breath, mild-severe cognitive impairment as per the Cognitive Performance Scale, and presence of caregiver distress. We conducted a multivariate logistic regression to identify factors associated with having each outcome respectively, in the last 6 months. Results A total of 20,773 non-cancer patient were included in our study, which were analyzed by disease groups: cardiovascular (n = 12,923); neurological (n = 6,935); respiratory (n = 6,357); and renal (n = 3,062). Roughly 80% of patients were > 75 years and half were female. In the last 6 months of life, moderate to severe pain was frequent in the cardiovascular (57.2%), neurological (42.7%), renal (61.0%) and respiratory (58.3%) patients. Patients with renal disease had significantly higher odds for reporting uncontrolled moderate to severe pain (odds ratio [OR] = 1.21; 95% CI: 1.08 to 1.34) than those who did not. Patients with respiratory disease reported significantly higher odds for shortness of breath (5.37; 95% CI, 5.00 to 5.80) versus those who did not. Patients with neurological disease compared to those without were 9.65 times more likely to experience impaired cognitive performance and had 56% higher odds of caregiver distress (OR = 1.56; 95% CI: 1.43 to 1.71). Discussion In our cohort of non-cancer patients dying in the community, pain, shortness of breath, impaired cognitive function and caregiver distress are important symptoms to manage near the end of life even in non-institutional settings.

Brief on the Role of Psychologists in Residential and Home Care Services for Older Adults

2016 ◽  
Vol 52 (6) ◽  
pp. 397-405 ◽  
Author(s):  
Tanya E. Davison ◽  
Deborah Koder ◽  
Edward Helmes ◽  
Colleen Doyle ◽  
Sunil Bhar ◽  
...  
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Home Care Services ◽  
Care Services
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