The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Luc Deliens - One of the best experts on this subject based on the ideXlab platform.
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opioid underuse in Terminal Care of long term Care facility residents with pain and or dyspnoea a cross sectional pace survey in six european countries
WOS, 2020Co-Authors: Marc Tanghe, Luc Deliens, Bregje D Onwuteakaphilipsen, Sheila Payne, Nele Van Den Noortgate, Tinne Smets, Katarzyna Szczerbinska, Harriet Finnesoveri, Giovanni Gambassi, Lieve Van Den BlockAbstract:Background/objectives:Opioids relieve symptoms in Terminal Care. We studied opioid underuse in long-term Care facilities, defined as residents without opioid prescription despite pain and/or dyspno...
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comparing the use and timing of palliative Care services in copd and lung cancer a population based survey
European Respiratory Journal, 2018Co-Authors: Joachim Cohen, Luc Deliens, Kim Beernaert, Charlotte Scheerens, Peter Pype, Kenneth ChambaereAbstract:Palliative Care services are used mainly as Terminal Care in lung cancer and COPD, with less and later use for COPDhttp://ow.ly/j38v30jxbhv
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dying in hospital a study of incidence and factors related to hospital death using death certificate data
European Journal of Public Health, 2014Co-Authors: Dirk Houttekier, Joachim Cohen, Luc Deliens, Thierry PepersackAbstract:Background: Most people prefer not to die in a hospital, and for those with palliative Care needs, doing so may result in inappropriate Care and poor outcomes. We examined place of death and factors associated with hospital death in a population eligible for palliative Care. Methods: We used death certificate data to identify deaths from conditions eligible for palliative Care and to examine place of death and demographic, socioeconomic and environmental characteristics associated with hospital death in Belgium in 2008. Results: Of all people eligible for palliative Care (N = 44 229, i.e. 43.5% of all deaths), 51% died in hospital, 25% at home and 24% in long-term Care settings. Of those officially living at home at the time of death, hospital death occurred in >60%; of those living in long-term Care settings, this was 16%. Nine percent of those living at home alone at the time of death died in long-term Care settings; of those living with others, this was 5%. In both, those living at home and those living in long-term Care settings, hospital death was more likely in areas with higher availability of hospital beds and less likely in areas with higher availability of skilled nursing beds in long-term Care settings. Conclusions: Hospital death is still common among those eligible for palliative Care. The significant proportion of people living at home and dying in long-term Care settings indicates the need for additional inpatient beds for Terminal Care in palliative Care institutions.
Peter J Pronovost - One of the best experts on this subject based on the ideXlab platform.
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nurse perceived barriers to effective communication regarding prognosis and optimal end of life Care for surgical icu patients a qualitative exploration
Journal of Palliative Medicine, 2012Co-Authors: Rebecca A Aslakson, Rhonda Wyskiel, Imani Thornton, Christina Copley, Dauryne L Shaffer, Marylou Zyra, Judith E Nelson, Peter J PronovostAbstract:Background Integration of palliative Care for intensive Care unit (ICU) patients is important but often challenging, especially in surgical ICUs (SICUs), in part because many surgeons equate palliative Care with Terminal Care and failure of restorative Care. SICU nurses, who are key front-line clinicians, can provide insights into barriers for delivery of optimal palliative Care in their setting.
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nurse perceived barriers to effective communication regarding prognosis and optimal end of life Care for surgical icu patients a qualitative exploration 314 a
Journal of Pain and Symptom Management, 2011Co-Authors: Rebecca A Aslakson, Rhonda Wyskiel, Imani Thornton, Christina Copley, Dauryne L Shaffer, Marylou Zyra, Judith E Nelson, Nita Ahuja, Peter J PronovostAbstract:Abstract Background: Integration of palliative Care for intensive Care unit (ICU) patients is important but often challenging, especially in surgical ICUs (SICUs), in part because many surgeons equate palliative Care with Terminal Care and failure of restorative Care. SICU nurses, who are key front-line clinicians, can provide insights into barriers for delivery of optimal palliative Care in their setting. Methods: We developed a focus group guide to identify barriers to two key components of palliative Care—optimal communication regarding prognosis and optimal end-of-life Care—and used the tool to conduct focus groups of nurses providing bedside Care in three SICUs at a tertiary Care, academic, inner city hospital. Using content analysis technique, responses were organized into thematic domains that were validated by independent observers and a subset of participating nurses. Results: Four focus groups included a total of 32 SICU nurses. They identified 34 barriers to optimal communication regarding prog...
Carl Johan Furst - One of the best experts on this subject based on the ideXlab platform.
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quality of life in Terminal Care with special reference to age gender and marital status
Supportive Care in Cancer, 2006Co-Authors: Lundh C Hagelin, Ake Seiger, Carl Johan FurstAbstract:Objectives This study was conducted to explore symptoms, other quality of life (QoL) aspects and impact of age, gender, marital status, cancer diagnosis and time of survival in patients with advanced cancer admitted to palliative Care.
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quality of life in Terminal Care with special reference to age gender and marital status
Supportive Care in Cancer, 2006Co-Authors: Lundh C Hagelin, Ake Seiger, Carl Johan FurstAbstract:This study was conducted to explore symptoms, other quality of life (QoL) aspects and impact of age, gender, marital status, cancer diagnosis and time of survival in patients with advanced cancer admitted to palliative Care. A cross-sectional study of 278 cancer patients completing the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 at referral to palliative Care. Gynaecological and gastro-intestinal tract cancers were the most common. Mean age was 67 years; 62% were female. Median survival was 43 days and 39% lived less than 30 days. Patients reported impaired general QoL and high occurrence of symptoms (44 and 100% for diarrhoea and fatigue, respectively). Fatigue, appetite loss and dyspnoea were reported as most severe (mean values of 80, 59 and 51, respectively, 0–100 scales). Married/cohabiting patients and younger patients reported lower functional abilities and more symptoms. No impact of diagnoses on QoL parameters was found. Patients closest to death did not differ significantly from those with longer time to live in social functioning. Young and married patients may be at higher risk for perceived low quality of life at the end of life. EORTC QLQ-C30 could be used as a clinical tool for screening of symptoms and reduced functioning in palliative Care, but may not be appropriate for use in the most severely ill patients. Limitations of the instrument and the need for robust measurements of patient mix are discussed. Proxy ratings of physical symptoms and nurse responsibility to include QoL assessment in daily practice would increase attrition and decrease selection bias.
Rebecca A Aslakson - One of the best experts on this subject based on the ideXlab platform.
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nurse perceived barriers to effective communication regarding prognosis and optimal end of life Care for surgical icu patients a qualitative exploration
Journal of Palliative Medicine, 2012Co-Authors: Rebecca A Aslakson, Rhonda Wyskiel, Imani Thornton, Christina Copley, Dauryne L Shaffer, Marylou Zyra, Judith E Nelson, Peter J PronovostAbstract:Background Integration of palliative Care for intensive Care unit (ICU) patients is important but often challenging, especially in surgical ICUs (SICUs), in part because many surgeons equate palliative Care with Terminal Care and failure of restorative Care. SICU nurses, who are key front-line clinicians, can provide insights into barriers for delivery of optimal palliative Care in their setting.
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nurse perceived barriers to effective communication regarding prognosis and optimal end of life Care for surgical icu patients a qualitative exploration 314 a
Journal of Pain and Symptom Management, 2011Co-Authors: Rebecca A Aslakson, Rhonda Wyskiel, Imani Thornton, Christina Copley, Dauryne L Shaffer, Marylou Zyra, Judith E Nelson, Nita Ahuja, Peter J PronovostAbstract:Abstract Background: Integration of palliative Care for intensive Care unit (ICU) patients is important but often challenging, especially in surgical ICUs (SICUs), in part because many surgeons equate palliative Care with Terminal Care and failure of restorative Care. SICU nurses, who are key front-line clinicians, can provide insights into barriers for delivery of optimal palliative Care in their setting. Methods: We developed a focus group guide to identify barriers to two key components of palliative Care—optimal communication regarding prognosis and optimal end-of-life Care—and used the tool to conduct focus groups of nurses providing bedside Care in three SICUs at a tertiary Care, academic, inner city hospital. Using content analysis technique, responses were organized into thematic domains that were validated by independent observers and a subset of participating nurses. Results: Four focus groups included a total of 32 SICU nurses. They identified 34 barriers to optimal communication regarding prog...
Joachim Cohen - One of the best experts on this subject based on the ideXlab platform.
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comparing the use and timing of palliative Care services in copd and lung cancer a population based survey
European Respiratory Journal, 2018Co-Authors: Joachim Cohen, Luc Deliens, Kim Beernaert, Charlotte Scheerens, Peter Pype, Kenneth ChambaereAbstract:Palliative Care services are used mainly as Terminal Care in lung cancer and COPD, with less and later use for COPDhttp://ow.ly/j38v30jxbhv
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differences in place of death between lung cancer and copd patients a 14 country study using death certificate data
npj Primary Care Respiratory Medicine, 2017Co-Authors: Joachim Cohen, Guido Miccinesi, Bregje D Onwuteakaphilipsen, Marylou Cardenasturanzas, Kim Beernaert, Lieve Van Den Block, Lucas Morin, Kate Hunt, Rod Macleod, Miguel RuizramosAbstract:Chronic obstructive pulmonary disease and lung cancer are leading causes of death with comparable symptoms at the end of life. Cross-national comparisons of place of death, as an important outcome of Terminal Care, between people dying from chronic obstructive pulmonary disease and lung cancer have not been studied before. We collected population death certificate data from 14 countries (year: 2008), covering place of death, underlying cause of death, and demographic information. We included patients dying from lung cancer or chronic obstructive pulmonary disease and used descriptive statistics and multivariable logistic regressions to describe patterns in place of death. Of 5,568,827 deaths, 5.8% were from lung cancer and 4.4% from chronic obstructive pulmonary disease. Among lung cancer decedents, home deaths ranged from 12.5% in South Korea to 57.1% in Mexico, while hospital deaths ranged from 27.5% in New Zealand to 77.4% in France. In chronic obstructive pulmonary disease patients, the proportion dying at home ranged from 10.4% in Canada to 55.4% in Mexico, while hospital deaths ranged from 41.8% in Mexico to 78.9% in South Korea. Controlling for age, sex, and marital status, patients with chronic obstructive pulmonary disease were significantly less likely die at home rather than in hospital in nine countries. Our study found in almost all countries that those dying from chronic obstructive pulmonary disease as compared with those from lung cancer are less likely to die at home and at a palliative Care institution and more likely to die in a hospital or a nursing home. This might be due to less predictable disease trajectories and prognosis of death in chronic obstructive pulmonary disease.
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dying in hospital a study of incidence and factors related to hospital death using death certificate data
European Journal of Public Health, 2014Co-Authors: Dirk Houttekier, Joachim Cohen, Luc Deliens, Thierry PepersackAbstract:Background: Most people prefer not to die in a hospital, and for those with palliative Care needs, doing so may result in inappropriate Care and poor outcomes. We examined place of death and factors associated with hospital death in a population eligible for palliative Care. Methods: We used death certificate data to identify deaths from conditions eligible for palliative Care and to examine place of death and demographic, socioeconomic and environmental characteristics associated with hospital death in Belgium in 2008. Results: Of all people eligible for palliative Care (N = 44 229, i.e. 43.5% of all deaths), 51% died in hospital, 25% at home and 24% in long-term Care settings. Of those officially living at home at the time of death, hospital death occurred in >60%; of those living in long-term Care settings, this was 16%. Nine percent of those living at home alone at the time of death died in long-term Care settings; of those living with others, this was 5%. In both, those living at home and those living in long-term Care settings, hospital death was more likely in areas with higher availability of hospital beds and less likely in areas with higher availability of skilled nursing beds in long-term Care settings. Conclusions: Hospital death is still common among those eligible for palliative Care. The significant proportion of people living at home and dying in long-term Care settings indicates the need for additional inpatient beds for Terminal Care in palliative Care institutions.
