Evaluation of end-of-life cancer care in the ICU: perceptions of the bereaved family in Japan

The American Journal of Hospice & Palliative Care
Satomi Kinoshita, Mitsunori Miyashita

Abstract

The purpose of this study was to investigate the evaluation of end-of-life care from bereaved family of cancer patients who had died in intensive care units in Japan. Cross-sectional anonymous questionnaire surveys were conducted on community dwelling individuals aged 40-79 who were randomly sampled from census tracts. End-of-life care was assessed using the Good Death Inventory and Care Evaluation Scale. The respondents were 4011 bereaved family and response rate was 40%. Of 390 respondents had experienced bereavement in intensive care unit. Of 152 respondents had lost a loved one due to cancer. The result showed that bereaved family of cancer patients evaluated lower than the non-cancer patients for "The doctors dealt promptly with discomforting symptoms of the patients' (p=0.009), 'The nurses had adequate knowledge and skills' (p=0.016), 'Admission (use) was possible when necessary without waiting' (p=0.008) , Consideration was given to the health of the family (P=0.039) and Physical and psychological comfort (p=0.03). Overall, it can be presumed that the cancer patients' bereaved family evaluated about symptoms management and doctors and nurses skills was low. There is a need to improve for end-of-life care of cancer patien...Continue Reading

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May 30, 2017·Journal of Pain and Symptom Management·Ann C LongJ Randall Curtis
Jun 6, 2014·Intensive Care Medicine·Avelino C VercelesGiora Netzer
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Mar 31, 2015·The American Journal of Hospice & Palliative Care·Silviya Aleksandrova-Yankulovska, Henk ten Have

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