Informal caregivers caring for patients at the end of life in rural geographic areas may have inadequate support due to insufficient community-based palliative care services. We conducted a parallel mixed-methods study to understand informal caregivers' unmet supportive, educational, and informational needs living in rural areas with limited community-based palliative care services. Forty-four caregivers of loved ones that died at home between December 2017 and September 2020 completed the Carer Support Needs Assessment Tool (CSNAT) and 14 caregivers were interviewed. Using a parallel mixed analysis, results showed that caregiver distress was associated with unmet information needs about how to accurately assess and manage pain levels and identify signs and symptoms of end-of-life. Caregivers needed more support related to available, knowledgeable, and well-trained home health care providers, accessible equipment, 24-hour respite care, accessible grief counseling, and a central triage contact number for community support.
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http://dx.doi.org/10.1080/07481187.2023.2230551 | DOI Listing |
Med Care Res Rev
January 2025
Duke University School of Medicine, Durham, NC, USA.
While community-based palliative care (CBPC) programs have been expanding, there remain important obstacles to widespread use. Since provider perspectives on CBPC remain underexplored, we conducted a scoping review to summarize provider perspectives regarding barriers and facilitators to implementation of adult CBPC in the United States. We systematically searched OVID, MEDLINE, and CINAHL for peer-reviewed qualitative research published from January 1, 2010 to January 9, 2024, then used PRISM framework synthesis to organize themes into provider, organization, and external environment levels.
View Article and Find Full Text PDFRes Involv Engagem
December 2024
User Perspectives and Community-based Interventions, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Background: Young adult cancer survivors, defined as individuals aged 18-39 who have completed primary curative treatment, face numerous age-specific biopsychosocial late effects that impact health-related quality of life negatively. Rehabilitation can enhance participation in life roles, work, leisure activities and health-related quality of life. However, there is a lack of age-specific cancer rehabilitation for this population, leaving many young adults with diminished self-efficacy in managing their challenges, resulting in unmet needs.
View Article and Find Full Text PDFJ R Soc N Z
May 2024
School of Nursing, University of Auckland, Auckland, New Zealand.
During the COVID-19 outbreak a four-level alert system placed social restrictions on New Zealanders to minimise the spread of the virus. Hospices provided community-based care reduced to telecommunications in some regions. Marae (ancestorial gathering places) were closed, and families had to stay in their 'bubbles.
View Article and Find Full Text PDFIsr J Health Policy Res
December 2024
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer- Sheva, Israel.
Background: Antibiotic treatment (AT) for patients with advanced dementia and pneumonia is a complex issue. AT can prolong life, but it can also prolong suffering for the patient and the family. In this study we evaluated physicians' attitudes to this issue.
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