scholarly journals Correction: Palliative care team consultation and quality of death and dying in a university hospital: A secondary analysis of a prospective study

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0208564 ◽  
Author(s):  
Arianne Brinkman-Stoppelenburg ◽  
Frederika E. Witkamp ◽  
Lia van Zuylen ◽  
Carin C. D. van der Rijt ◽  
Agnes van der Heide
Keyword(s):  
Palliative Care ◽  
Prospective Study ◽  
Death And Dying ◽  
Secondary Analysis ◽  
Palliative Care Team ◽  
Care Team ◽  
University Hospital ◽  
Quality Of Death ◽  
A Prospective Study

scholarly journals Palliative care team consultation and quality of death and dying in a university hospital: A secondary analysis of a prospective study

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0201191 ◽  
Author(s):  
Arianne Brinkman-Stoppelenburg ◽  
Frederika E. Witkamp ◽  
Lia van Zuylen ◽  
Carin C. D. van der Rijt ◽  
Agnes van der Heide
Keyword(s):  
Palliative Care ◽  
Prospective Study ◽  
Death And Dying ◽  
Secondary Analysis ◽  
Palliative Care Team ◽  
Care Team ◽  
University Hospital ◽  
Quality Of Death ◽  
A Prospective Study

Gute Lebens- und Sterbensqualität – Versorgung und Versorgungslücken von Palliative Care in der Schweiz

2017 ◽  
Vol 74 (1) ◽  
pp. 805-811 ◽  
Author(s):  
Tanja Krones ◽  
Settimio Monteverde
Keyword(s):  
Palliative Care ◽  
Advance Care Planning ◽  
Palliative Care Team ◽  
Care Team ◽  
Care Planning ◽  
Quality Of Death ◽  
Advance Care

Zusammenfassung. Der medizinische Fortschritt erforderte eine grundlegenden Neubesinnung über das Verhältnis von Medizin und Tod. Paradigmatisch vollzogen wurde diese erstmals durch das Wirken der Krankenschwester, Sozialarbeiterin und Ärztin Cicely Saunders, die das Zulassen und das Gestalten des letzten Lebensabschnitts als genuinen Auftrag der Medizin verstand, klinisch konsequent umsetzte und erforschte. Durch die WHO-Definition der Palliative Care wurde die globale, kultur- und systemübergreifende Bedeutung des Themas ins Bewusstsein gerufen. Bald schon konnte die Forschung die Wirksamkeit von Palliative Care auf die Lebensqualität unheilbar kranker und sterbender Menschen belegen. Aber auch Faktoren wie die Belastung pflegender Angehöriger oder der wirksame Einsatz von Gesundheitsressourcen können durch Palliative Care positiv beeinflusst werden. Auch in der Schweiz hat sich Palliative Care in den Versorgungsstrukturen des Gesundheitswesens gut etabliert, was dem Zusammenwirken verschiedener Akteure aus der Ebene der Gesundheitspolitik, der Patientenversorgung und der privaten Initiative zu verdanken ist. Trotzdem belegt die Schweiz in der Quality of Death Studie des „Economist“ weltweit keinen der vorderen Plätze, wofür gemäss Studie gerade auch Finanzierungslücken in der Palliative Care verantwortlich gemacht werden. Dieser Beitrag zeigt, wie schwierig es ist, Palliative Care als Teil einer flächendeckenden Gesundheitsversorgung zu verstehen und umzusetzen. Auch die mit Palliative Care verbundene finanzielle Belastung für Einzelne und Haushalte ist dabei nicht ausser Acht zu lassen. Aufbauend auf bisherigen Bemühungen sind weitere Schritte in Richtung flächendeckender Implementierung nötig, die dem Motto „The palliative care team follows the patient“ („engl. „Das Palliative Care Team folgt dem Patienten“) folgen und problematische implizite Steuerungseffekte aufgrund bestehender Finanzierungslücken aufdecken. Als Möglichkeit einer solchen integrierten, patientenzentrierten Palliative Care Versorgung wird das Konzept des Advance Care Planning ausgeführt.

scholarly journals A prospective study on the characteristics and subjects of pediatric palliative care case management provided by a hospital based palliative care team

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Charissa T. Jagt – van Kampen ◽  
Marijke C. Kars ◽  
Derk A. Colenbrander ◽  
Diederik K. Bosman ◽  
Martha A. Grootenhuis ◽  
...  
Keyword(s):  
Palliative Care ◽  
Case Management ◽  
Prospective Study ◽  
Palliative Care Team ◽  
Care Team ◽  
Pediatric Palliative Care ◽  
A Prospective Study

Reduction of Opioid Side Effects by Prophylactic Measures of Palliative Care Team May Result in Improved Quality of Life

2010 ◽  
Vol 13 (4) ◽  
pp. 401-406 ◽  
Author(s):  
Michiaki Myotoku ◽  
Akiko Nakanishi ◽  
Miwa Kanematsu ◽  
Noriko Sakaguchi ◽  
Norio Hashimoto ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Side Effects ◽  
Palliative Care Team ◽  
Care Team ◽  
Prophylactic Measures

Validation of the Spanish version of the QODD questionnaire (QODDq-ESP) in a home-based cancer palliative care program and development of the QODDq-ESP-12.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 70-70
Author(s):  
Pedro Emilio Perez-Cruz ◽  
Oslando Padilla Pérez ◽  
Pilar Bonati ◽  
Oliva Thomsen Parisi ◽  
Laura Tupper Satt ◽  
...  
Keyword(s):  
Palliative Care ◽  
Convergent Validity ◽  
Death And Dying ◽  
Care Program ◽  
Spanish Version ◽  
Global Rating ◽  
Care Clinic ◽  
Phone Interview ◽  
Quality Of Death

70 Background: Improving quality of death (QOD) is a key goal in palliative care. No instruments to measure QOD have been validated in Spanish. The goal of this study was to validate the Spanish version of the quality of death and dying questionnaire (QODD) and to develop a shortened version of this instrument suitable to be completed by phone interview. Methods: Translation/back-translation and adaptation of the QODD was performed following established standards. One question was removed due to cultural inadequacy. We enrolled caregivers (CGs) of consecutive deceased cancer patients from a single palliative care clinic in Santiago, Chile. CGs were contacted by phone between 4 and 12 weeks after patients’ death. Participating CGs completed the adapted QODD (QODD-ESP) by phone interview. A global rating question assessing quality of life (QOL) during the last week of life was included. A shortened version of the QODD (QODD-ESP-12) based on the model by Downey et al. (J Pain Sympt Manage 2010;39) was created. Measures of reliability (Cronbach-alpha), convergent validity (correlation with global rating question) and construct validity (factorial analysis [FA]) were estimated for both versions of the instrument. Results: 150 (50%) out of 302 CGs completed the QODD-ESP. Patients mean (standard deviation [SD]) age was 67 (14), 71 (47%) female and 131 (87%) died at home. CGs mean (SD) age was 51 (13), 128 (85%) female. Mean QODD-ESP score was 69 (range 35-96) with an alpha = .829. Correlation with last week QOL was .434 (p < .01). Kaiser-Meyer-Olkin measure of sampling adequacy was .585, not supporting the existence of a unique underlying construct. Mean QODD-ESP-12 score was 69 (range 31-97) with a alpha = .728. Correlation with last week QOL was .306 (p < .01). Confirmatory FA of QODD-ESP-12 showed that data fitted well Downey’s model (Chi2 4.85 (60), p = .311 Comparative Fit ndex = .98; Tuker-Lewis Index = .977 and root mean square error of approximation (RMSEA) = .023 (CI: 0-.056). Conclusions: QODD-ESP-12 is a reliable and valid instrument with good psychometric properties and can be used to assess QOD in a Spanish speaking cancer palliative care population by phone interview.

scholarly journals Does a Hospital Palliative Care Team Have the Potential to Reduce the Cost of a Terminal Hospitalization? A Retrospective Case-control Study in a Czech Tertiary University Hospital

2021 ◽  
Author(s):  
Zuzana Kremenova ◽  
Jan Svancara ◽  
Petra Kralova ◽  
Martin Moravec ◽  
Katerina Hanouskova ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Case Control Study ◽  
Case Control ◽  
Palliative Care Team ◽  
Care Team ◽  
University Hospital ◽  
Insurance Company ◽  
Retrospective Case ◽  
Control Study

Abstract Background: More than 50% of patients worldwide die in hospitals. It is well known that end-of-life hospital care is costly.Our aims were to test whether the support of the palliative team can reduce end-of-life costs and to study the mechanisms of cost reduction.Methods: This was a one-centre descriptive retrospective case-control study. Big data from registries of routine visits were used for case-control matching. We included the expenses billed to the insurance company and added separately charged drugs and materials. We compared the groups over the duration of the terminal hospitalization, ICU days (ICU=intensive care unit), IV antibiotic use (IV=intravenous), MRI/CT scans (MRI/CR=magnetic resonance imaging/computed tomography), oncologic treatment in the last month of life, and documentation of the dying phase.We searched for all in-hospital cases who died in the university hospital in Prague with the support of the hospital palliative team from January 2019 to April 2020 and matched them with similar controls. The controls were matched according to age, sex, Charlson comorbidity index and diagnosis recorded on the death certificate.Results: We identified 213 dyads. The average daily costs were three times lower in the palliative group (4,392.4 CZK per day=171.3 EUR) than in the non-palliative group (13,992.8 CZK per day=545.8 EUR), and the difference was caused by the shorter time spent in the ICU (16% vs 33% of hospital days). This was probably due to better documentation of the dying phase in the medical records.Conclusions: To date, there are sparse hospital data available on the economic aspects of end-of-life care. We showed that the integration of the palliative care team in the dying phase can be cost saving. The evidence that hospital palliative care can save a substantial amount of money can be used to support the integration of palliative care in hospitals in middle- and low-income countries. A multicentre study with the same design is planned in the future to increase the strength of the results.

Proxy-Reported Quality of Life and Family Impact for Children Followed Longitudinally by a Pediatric Palliative Care Team

2018 ◽  
Vol 21 (2) ◽  
pp. 241-244 ◽  
Author(s):  
Meaghann Weaver ◽  
Christopher Wichman ◽  
Cheryl Darnall ◽  
Sue Bace ◽  
Catherine Vail ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Palliative Care Team ◽  
Care Team ◽  
Pediatric Palliative Care ◽  
Family Impact
Sign in / Sign up

Export Citation Format

Share Document