TITLE

Specialist palliative care in nonmalignant disease

AUTHOR(S)
Addington-Hall, J.; Fakhoury, W.; McCarthy, M.
PUB. DATE
November 1998
SOURCE
Palliative Medicine;1998, Vol. 12 Issue 6, p417
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The objective of this study was to investigate how many patients who die from causes other than cancer might benefit from specialist palliative care. This was achieved by secondary analysis of data from the Regional Study of Care for the Dying, a retrospective national population-based interview survey. The investigation involved 20 self-selected English health districts, nationally representative in terms of social deprivation and most aspects of health services provision. A total of 3696 patients were randomly selected from death registrations in the last quarter of 1990; an interview concerning the patient was completed 10 months after the death by bereaved family, friends or officials. The results show that a third (243/720) of cancer patients who were admitted to hospices or had domiciliary palliative care scored at or above the median on three measures of reported symptom experience in the last year of life. That is the number of symptoms (eight or more), the number of distressing symptoms (three or more) and the number of symptoms lasting more than six months (three or more). A total of 269 out of 1605 noncancer patients (16.8%) fulfilled these criteria. On this basis, it is estimated that 71–744 people who die from nonmalignant disease in England and Wales each year may require specialist palliative care. An increase of at least 79% in caseload would, therefore, be expected if specialist palliative care services were made fully available to noncancer patients. This is a conservative estimate, as non-cancer patients were matched to only one-third of cancer patients who had specialist palliative care. It is concluded that clinicians and patient groups caring for patients with advanced nonmalignant disease must work together with specialist palliative care services and with health commissioners to develop, fund and evaluate appropriate, cost-effective services which meet patient and family needs for symptom control and psychosocial support.
ACCESSION #
4093466

 

Related Articles

  • The third way. Saphir, Ann // Modern Healthcare;04/12/99, Vol. 29 Issue 15, p30 

    Focuses on the palliative-care approach for patients with terminal illness. Cost considerations; Why some people in the hospice community are hesitant about palliative care; Significance of palliative-care services.

  • When there is no cure: Palliative care for the dying patient. Morrison, R. Sean; Morris, Jane // Geriatrics;Jul95, Vol. 50 Issue 7, p45 

    Highlights the type of palliative care received by dying patients in acute care hospitals in the United States. Unfamiliarity with concepts of palliative care by health professionals; Discussion of principles involved in palliative care; Provision of sustenance and comfort for dying patients. ...

  • The Role of Palliative Care in the Home in Medical Education: Report from a National Consensus Conference. Billings, J. Andrew; Ferris, Frank D.; MacDonald, Neil; von Gunten, Charles // Journal of Palliative Medicine;Sep2001, Vol. 4 Issue 3, p361 

    A working group on teaching palliative care in the home was convened at The National Consensus Conference on Medical Education for Care Near the End of Life. Our consensus statement includes: (1) a justification for education in the home; (2) general guidelines about teaching palliative care at...

  • How Prevalent Are Hospital-Based Palliative Care Programs? Status Report and Future Directions. Pan, Cynthia X.; Morrison, R. Sean; Meier, Diane E.; Natale, Dana K.; Goldhirsch, Suzy L.; Kralovec, Peter; Cassel, Christine K. // Journal of Palliative Medicine;Sep2001, Vol. 4 Issue 3, p315 

    In the United States, the majority of deaths occur in the hospital but the dying process there is at best unsatisfactory and more likely inadequate for both patients and caregivers. The development of hospital-based palliative care programs (HBPCPs) can vastly improve inpatient end-of-life care....

  • Politics, Palliation, and Canadian Progress in End-of-Life Care. Carstairs, Sharon; Chochinov, Harvey Max; Barnard, David // Journal of Palliative Medicine;Sep2001, Vol. 4 Issue 3, p395 

    How do health care consumers, private sector organizations, professionals, and government agencies work toward ensuring quality end-of-life care? This challenge is by no means uniquely Canadian; our approach may thus have applications that extend well beyond our national borders. Raising the...

  • In this issue.  // Journal of Palliative Medicine;Dec2004, Vol. 7 Issue 6, p745 

    Introduces several articles on palliative care for terminally ill patients.

  • Unfinished. Havas, Nancy // Journal of Palliative Medicine;Winter1999, Vol. 2 Issue 4, p417 

    Presents an article on palliative care.

  • National educational effort addresses end-of-life care.  // American Nurse;May/Jun2001, Vol. 33 Issue 3, p19 

    Focuses on the End-of-Life Nursing Education Consortium project, a national education program to improve end-of-life care by nurses. Goals of the project; Background on the project; Consultants of the project.

  • Doctor: Pain care refutes case for euthanasia. Hanson, Ann Aubrey // National Catholic Reporter;2/7/2003, Vol. 39 Issue 14, p4 

    Discusses the use of palliative medicine in end-of-life care. Argument that palliative care refutes the case for euthanasia; Cost of palliative care; Development of tools and approaches for use in palliative care.

  • End-of-Life Nursing Care. Laverty, Diane // Cancer Nursing Practice;Apr2013, Vol. 12 Issue 3, p8 

    The article reviews the book ``End-of-Life Nursing Care'' by Joanna De Souza and Annie Pettifer.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics