BMJ Support Palliat Care
September 2018
Objectives: Palliative care needs rounds are triage meetings that have been introduced in residential care for older adults to help identify and prioritise care for people most at risk for unplanned dying with inadequately controlled symptoms. This study sought to generate an evidence-based checklist in order to support specialist palliative care clinicians integrate care in residential nursing homes for older people.
Methods: A grounded theory ethnographic study, involving non-participant observation and qualitative interviews.
Aims And Objectives: To identify the mechanisms of subcutaneous fluid administration in advanced illness.
Background: Hydration at end of life is a fundamental issue in quality care internationally. Decision-making regarding the provision of artificial hydration in advanced illness is complicated by a paucity of evidence-based guidance.
Objectives: Specialist palliative care is not a standardised component of service delivery in nursing home care in Australia. Specialist palliative care services can increase rates of advance care planning, decrease hospital admissions and improve symptom management in such facilities. New approaches are required to support nursing home residents in avoiding unnecessary hospitalisation and improving rates of dying in documented preferred place of death.
View Article and Find Full Text PDFBackground: Improving access to palliative care for older adults living in residential care is recognised internationally as a pressing clinical need. The integration of specialist palliative care in residential care for older adults is not yet standard practice.
Objective: This study aimed to understand the experience and impact of integrating a specialist palliative care model on residents, relatives and staff.