Anna Dowd, Melanie Davies, Sarah Short, Ruth Morrison, Cheryl Spiller, Jill Carter, Peter Eastman
{"title":"Dying at home: enablers and barriers.","authors":"Anna Dowd, Melanie Davies, Sarah Short, Ruth Morrison, Cheryl Spiller, Jill Carter, Peter Eastman","doi":"10.12968/ijpn.2023.29.7.326","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>According to the Grattan institute in 2014, 70% of Australians indicated a preference to die at home, however, only 14% of all deaths were at home.</p><p><strong>Aims: </strong>To identify how patients can be supported to die at home if that is their preference.</p><p><strong>Methods: </strong>A retrospective medical record audit of eligible Community Palliative Care (CPC) patients who indicated a wish to die at home was undertaken.</p><p><strong>Findings: </strong>Out of a total of 114 patients, 74% indicated a preference to die at home. Of these, 66% achieved a home death, and most lived with a carer. Enablers for home death included family support, regular nursing visits and equipment. People who attended an emergency department in their last month of life, lived alone or were undergoing oncological treatment were more likely to die elsewhere.</p><p><strong>Conclusion: </strong>A range of enablers and barriers to home death were found, with many of the enablers being factors that prevented hospital presentations.</p>","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"29 7","pages":"326-333"},"PeriodicalIF":0.7000,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Palliative Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12968/ijpn.2023.29.7.326","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: According to the Grattan institute in 2014, 70% of Australians indicated a preference to die at home, however, only 14% of all deaths were at home.
Aims: To identify how patients can be supported to die at home if that is their preference.
Methods: A retrospective medical record audit of eligible Community Palliative Care (CPC) patients who indicated a wish to die at home was undertaken.
Findings: Out of a total of 114 patients, 74% indicated a preference to die at home. Of these, 66% achieved a home death, and most lived with a carer. Enablers for home death included family support, regular nursing visits and equipment. People who attended an emergency department in their last month of life, lived alone or were undergoing oncological treatment were more likely to die elsewhere.
Conclusion: A range of enablers and barriers to home death were found, with many of the enablers being factors that prevented hospital presentations.
期刊介绍：
Since its launch in 1995, International Journal of Palliative Nursing (IJPN) has been committed to promoting excellence in palliative and hospice care. It is now established as the leading journal for nurses working in this most demanding profession, covering all aspects of palliative care nursing in a way which is intelligent, helpful and accessible, and so useful in daily practice. The aim of IJPN is to provide nurses with essential information to help them deliver the best possible care and support for their patients. Each issue contains an unparalleled range of peer-reviewed clinical, professional and educational articles, as well as helpful and informative information on practical, legal and policy issues of importance to all palliative nurses.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
