Health problems encountered by dying patients receiving palliative home care until death

Cancer Nursing
Frances Kam Yuet WongTony Chan

Abstract

Many of the studies reviewing the needs of the dying patient have used specified time points rather than following the patients through the last span of their lifetime, until death. This prospective study, using clinical records and nursing anecdotes, examined the health problems encountered by dying patients receiving home care from referral to home care until death. Thirty-two subjects were recruited in the study. The clinical records were content-analyzed using the Omaha system, and the anecdotes of the nurses were used to illuminate the numerical findings. This study reveals that patients who were discharged home were living in good environmental and social conditions. The physical symptoms were generally well controlled, except for dyspnea. The psychological aspects caused the most concern to patients, families, and healthcare professionals. The severity of the psychological signs and symptoms was moderate at the time of the initial visits, but improved toward the final visits. Understanding the needs of palliative home care patients can facilitate the healthcare team to plan care to support "good dying" of these patients.

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Citations

Feb 15, 2007·Journal of Palliative Medicine·Jennifer KapoSolomon Liao
Jun 8, 2013·Journal of the American Medical Informatics Association : JAMIA·Maxim TopazKathryn H Bowles
Jan 31, 2006·Journal of Advanced Nursing·Frances K Y Wong, Loretta C Y Chung
May 21, 2008·Journal of Advanced Nursing·Frances Kam Yuet WongRance Lee
Apr 13, 2007·Scandinavian Journal of Caring Sciences·Birgitta Wallerstedt, Birgitta Andershed
Jun 16, 2015·Palliative & Supportive Care·Chong-Wen Wang, Cecilia L W Chan
Oct 1, 2010·Clinical Journal of Oncology Nursing·Sarah Northfield, Monica Nebauer
Apr 25, 2017·Palliative Medicine·Frances Kam Yuet WongMichael Mau Kwong Sham
Jul 21, 2015·The Cochrane Database of Systematic Reviews·Dell HoreySusan F Lee
Apr 12, 2006·British Journal of Community Nursing·Alexandra Aitken
Apr 21, 2021·BMC Medical Informatics and Decision Making·Xinyi ZhouDongrui Miao

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