Laycarers can confidently prepare and administer subcutaneous injections for palliative care patients at home: A randomized controlled trial

Palliative Medicine
Sue HealyLiz Reymond

Abstract

Palliative care patients consistently nominate home as their preferred care environment. This is challenging without support from laycarers, especially if patients require subcutaneously administered symptom relief. Laycarers typically lack confidence with this task and request professional guidance. To explore differences in laycarers' confidence in administering subcutaneous injections depending upon whether a laycarer, registered nurse or pharmacist prepared injections for subsequent administration by laycarers. Prospective randomized controlled trial with three intervention arms: laycarer prepares, labels and stores injections; registered nurse prepares injections; and pharmacist prepares injections for later administration by laycarer. In all, 93 laycarers, from 24 urban and rural community services, completed the study. The primary outcome of interest was laycarer confidence with injection administration; analysis of variance revealed no significant differences between the three intervention arms; mean values ranged from 5.9 to 6.1 out of 7 ( F(2, 90) = 0.50, p = 0.61). Comparison of confidence after laycarer preparation versus other (nurse or pharmacist) was not statistically significant ( t = 0.7, df = 90, p = 0.49). Av...Continue Reading

References

Nov 22, 2005·Palliative Medicine·Samar M AounPeter L Hudson
Feb 10, 2006·BMJ : British Medical Journal·Barbara Gomes, Irene J Higginson
Aug 1, 2006·Journal of Pain and Symptom Management·Peter C TraskJustin Nash
Apr 11, 2007·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Robin Renee Hill
Nov 14, 2008·Palliative & Supportive Care·Barbara A Anderson, Debbie Kralik
Nov 26, 2008·International Journal of Palliative Nursing·Fiona IsraelMargaret A Charles
May 26, 2009·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Denys T LauLinda Emanuel
Sep 15, 2010·Journal of Palliative Medicine·Denys T LauWhitney Witt
May 24, 2013·Palliative Medicine·Irene J HigginsonBarbara Gomes
Feb 15, 2014·The American Journal of Hospice & Palliative Care·Barbara Sheehy-SkeffingtonAisling O'Gorman
Sep 27, 2014·BMJ Supportive & Palliative Care·Sheila PayneChristine Milligan

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