Extent of palliative care need in the acute hospital setting: a survey of two acute hospitals in the UK.

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dc.contributor.author Gardiner, C en
dc.contributor.author Gott, M en
dc.contributor.author Ingleton, C en
dc.contributor.author Seymour, J en
dc.contributor.author Cobb, M en
dc.contributor.author Noble, B en
dc.contributor.author Bennett, M en
dc.contributor.author Ryan, T en
dc.coverage.spatial England en
dc.date.accessioned 2013-10-24T03:38:05Z en
dc.date.available 2013-10-24T03:38:05Z en
dc.date.issued 2013 en
dc.identifier.citation Palliative Medicine 27(1):76-83 Jan 2013 en
dc.identifier.issn 0269-2163 en
dc.identifier.other 1477-030X en
dc.identifier.other 0269216312447592 en
dc.identifier.uri http://hdl.handle.net/2292/20973 en
dc.description.abstract Background: In common with international health policy, The End of Life Care Strategy for England has highlighted the delivery of high quality palliative care in the acute hospital setting as an area of priority. Aim: The aim of this study was to explore the extent of palliative care need in the acute hospital setting, and to explore agreement between different sources in the identification of patients with palliative care need. Design: A cross-sectional survey of palliative care need was undertaken in two UK acute hospitals. Hospital case notes were examined for evidence of palliative care need according to Gold Standards Framework (GSF) prognostic indicator criteria. Medical and nursing staff were asked to identify patients with palliative care needs. Patients (or consultees) completed assessments of palliative care need. Participants: Of a total in-patient population of 1359, complete datasets were collected for 514 patients/consultees. Results: 36.0% of patients were identified as having palliative care needs according to GSF criteria. Medical staff identified 15.5% of patients as having palliative care needs, and nursing staff 17.4% of patients. Patient self-report data indicated that 83.2% of patients meeting GSF criteria had palliative care needs. Conclusion: The results reveal that according to the GSF prognostic guide, over a third of hospital in-patients meet the criteria for palliative care need. Consensus between medical staff, nursing staff and the GSF was poor regarding the identification of patients with palliative care needs. This has significant implications for patient care, and draws into question the utility of the GSF in the hospital setting. en
dc.language eng en
dc.relation.ispartofseries Palliative Medicine en
dc.relation.isreplacedby 2292/21296 en
dc.relation.isreplacedby http://hdl.handle.net/2292/21296 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.uk.sagepub.com/aboutus/openaccess.htm http://www.sherpa.ac.uk/romeo/issn/0269-2163/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Acute Disease en
dc.subject Aged en
dc.subject Aged, 80 and over en
dc.subject Attitude of Health Personnel en
dc.subject Cross-Sectional Studies en
dc.subject Female en
dc.subject Great Britain en
dc.subject Health Surveys en
dc.subject Hospitalization en
dc.subject Humans en
dc.subject Male en
dc.subject Middle Aged en
dc.subject Needs Assessment en
dc.subject Palliative Care en
dc.subject Questionnaires en
dc.title Extent of palliative care need in the acute hospital setting: a survey of two acute hospitals in the UK. en
dc.type Journal Article en
dc.identifier.doi 10.1177/0269216312447592 en
pubs.issue 1 en
pubs.begin-page 76 en
pubs.volume 27 en
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/22619261 en
pubs.end-page 83 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.elements-id 354313 en
pubs.org-id Faculty of Medical & Hlth Sci en
pubs.org-id Nursing en

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