Loading…

Factors associated with location of death (home or hospital) of patients referred to a palliative care team

To identify factors associated with the location of death (home or hospital) of patients referred to a palliative care home support team. Retrospective case-control chart review. Palliative care inpatient unit with a home support team in a large chronic care hospital. All 75 patients receiving servi...

Full description

Saved in:
Bibliographic Details
Published in:Canadian Medical Association journal 1995-02, Vol.152 (3), p.361-367
Main Authors: McWhinney, I. R, Bass, M. J, Orr, V
Format: Article
Language:English
Subjects:
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To identify factors associated with the location of death (home or hospital) of patients referred to a palliative care home support team. Retrospective case-control chart review. Palliative care inpatient unit with a home support team in a large chronic care hospital. All 75 patients receiving services from the home support team who died at home between June 1988 and January 1990 and 75 randomly selected patients receiving the same services who died in hospital. Place of death (home or hospital). Of the 267 patients referred to the palliative care home support team during the study period 75 (28.1%) died at home. Factors significantly associated with dying at home were the patient's preference for dying at home recorded at the time of the initial assessment (p < 0.001), a family member other than the spouse involved in the patient's care (p = 0.021) and the use of private shift nursing (p < 0.001). The patients who died in hospital were more likely than the other patients to have had no home visits from the palliative care team after the initial assessment (p = 0.04). The patient's preference for dying at home was not met if the caregiver could not cope or if symptoms were uncontrolled. The patient's preference for dying in hospital was not met if his or her condition deteriorated rapidly or if the patient died suddenly. Patients' preference as to place of death, level of caregiver support and entitlement to private shift nursing were significantly associated with patients' dying at home. The determination of these factors should be part of every palliative care assessment. Patients and their families should be informed about available home support services.
ISSN:0008-4409
0820-3946
1488-2329