Abstract
ackground: Dying on the preferred location is a quality indicator of palliative care (PC). In
the Netherlands, most patients prefer to die at home. PC at home is provided by
professionals and volunteers, from a variety of primary care organisations. Collaboration in
PC at home is a challenge, due to a lack of regular face to face contacts. In a local area,
primary care professionals and a high care hospice initiated the Circle Team (CT), a
multidisciplinary collaboration of general and specialised PC caregiversto support patients
and their families at home.
Aim: To support patientsto die at their location of preference and ameliorate PC at home.
Methods: A prospective evaluation study.
Patients with a life expectancy < 12 months, identified with the‘surprise question’by PC
professionals, were offered CT support. Patientssupported by CT between Jan 2013–Dec
2013 enrolled in thisstudy.
The CT collaboratesthrough 2-weekly interdisciplinary consultation and 24/7 out of hours
hospice consultation for patients, families and caregivers. All CT patients were registered in a
database and a multidimensional patient record, to promote continuity of CT consultation.
Outcome: Concordance between preferred and actual place of death.
Analysis: Descriptive statistics.
Results: A total of 46 patients, 21 men (46%), mean age 72 (SD12.06), 93% cancer diagnosis,
enrolled in CT for 97 days(SD96.8). In 24 interdisciplinary consultations, patients were
discussed 5 times on average.
A total of 35 patients died: 83% (n=29) in concordance and 4% (n=2) not in concordance
with their preference. The preference of 4 patients was unknown (inability to discuss death
(n=1) and too ill (n=3)). These patients died at home (n=2), in hospice (n=1) and in hospital
(n=1,saddle embolism).
Conclusion: Interdisciplinary collaboration and consultation in a local chain of PC generalist
and specialised professionals and volunteers,supports patients at home, to die at their
preferred location.
Funding: Zonmw
the Netherlands, most patients prefer to die at home. PC at home is provided by
professionals and volunteers, from a variety of primary care organisations. Collaboration in
PC at home is a challenge, due to a lack of regular face to face contacts. In a local area,
primary care professionals and a high care hospice initiated the Circle Team (CT), a
multidisciplinary collaboration of general and specialised PC caregiversto support patients
and their families at home.
Aim: To support patientsto die at their location of preference and ameliorate PC at home.
Methods: A prospective evaluation study.
Patients with a life expectancy < 12 months, identified with the‘surprise question’by PC
professionals, were offered CT support. Patientssupported by CT between Jan 2013–Dec
2013 enrolled in thisstudy.
The CT collaboratesthrough 2-weekly interdisciplinary consultation and 24/7 out of hours
hospice consultation for patients, families and caregivers. All CT patients were registered in a
database and a multidimensional patient record, to promote continuity of CT consultation.
Outcome: Concordance between preferred and actual place of death.
Analysis: Descriptive statistics.
Results: A total of 46 patients, 21 men (46%), mean age 72 (SD12.06), 93% cancer diagnosis,
enrolled in CT for 97 days(SD96.8). In 24 interdisciplinary consultations, patients were
discussed 5 times on average.
A total of 35 patients died: 83% (n=29) in concordance and 4% (n=2) not in concordance
with their preference. The preference of 4 patients was unknown (inability to discuss death
(n=1) and too ill (n=3)). These patients died at home (n=2), in hospice (n=1) and in hospital
(n=1,saddle embolism).
Conclusion: Interdisciplinary collaboration and consultation in a local chain of PC generalist
and specialised professionals and volunteers,supports patients at home, to die at their
preferred location.
Funding: Zonmw
| Original language | English |
|---|---|
| Pages | 215 |
| Number of pages | 1 |
| Publication status | Published - 8 May 2015 |
| Event | EAPC 2015 14th World Congress of the European Association for Palliative Care: Building Bridges - Copenhagen, Denmark Duration: 8 May 2015 → 10 May 2015 https://eapc-2015.org/words-of-welcome/articles/words-of-welcome-committee.html |
Conference
| Conference | EAPC 2015 14th World Congress of the European Association for Palliative Care |
|---|---|
| Country/Territory | Denmark |
| City | Copenhagen |
| Period | 8/05/15 → 10/05/15 |
| Internet address |