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Associations between successful palliative trajectories, place of death and GP involvement.

https://arctichealth.org/en/permalink/ahliterature99272
Source
Scand J Prim Health Care. 2010 Sep;28(3):138-45
Publication Type
Article
Date
Sep-2010
Author
Mette Asbjoern Neergaard
Peter Vedsted
Frede Olesen
Ineta Sokolowski
Anders Bonde Jensen
Jens Sondergaard
Author Affiliation
The Palliative Team, Department of Oncology, Aarhus University Hospital, Denmark. man@alm.au.dk
Source
Scand J Prim Health Care. 2010 Sep;28(3):138-45
Date
Sep-2010
Language
English
Publication Type
Article
Keywords
Adult
Attitude to Death
Cross-Sectional Studies
Denmark
Family Practice
Female
Home Care Services
House Calls
Humans
Male
Middle Aged
Neoplasms - nursing - psychology - therapy
Palliative Care - manpower - methods
Physician's Role
Physicians, Family - psychology
Professional-Family Relations
Questionnaires
Registries
Retrospective Studies
Terminal Care - manpower - methods
Abstract
OBJECTIVE: General practitioner (GP) involvement may be instrumental in obtaining successful palliative cancer trajectories. The aim of the study was to examine associations between bereaved relatives' evaluation of palliative cancer trajectories, place of death, and GP involvement. DESIGN: Population-based, cross-sectional combined register and questionnaire study. SETTING: The former Aarhus County, Denmark. SUBJECTS: Questionnaire data on GPs' palliative efforts and relatives' evaluations of the palliative trajectories were obtained for 153 cases of deceased cancer patients. MAIN OUTCOME MEASURES: A successful palliative trajectory as evaluated retrospectively by the relatives. RESULTS: Successful palliative trajectories were statistically significantly associated with home death (PR 1.48 (95% CI 1.04; 2.12)). No significant associations were identified between the evaluations of the palliative trajectory at home and GP involvement. "Relative living with patient" (PR 1.75 (95% CI: 0.87; 3.53)) and "GP having contact with relatives" (PR 1.69 (95% CI 0.55; 5.19)) were not significantly associated, but this may be due to the poor number of cases included in the final analysis. CONCLUSION: This study indicates that home death is positively associated with a higher likelihood that bereaved relatives will evaluate the palliative trajectory at home as successful. No specific GP services that were statistically significantly associated with higher satisfaction among relatives could be identified, but contact between GPs and relatives seems important and the impact needs further investigation.
PubMed ID
20698730 View in PubMed
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Bridging gaps in everyday life - a free-listing approach to explore the variety of activities performed by physiotherapists in specialized palliative care.

https://arctichealth.org/en/permalink/ahliterature295174
Source
BMC Palliat Care. 2018 Jan 29; 17(1):20
Publication Type
Journal Article
Date
Jan-29-2018
Author
U Olsson Möller
K Stigmar
I Beck
M Malmström
B H Rasmussen
Author Affiliation
Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden. ulrika.olsson_moller@med.lu.se.
Source
BMC Palliat Care. 2018 Jan 29; 17(1):20
Date
Jan-29-2018
Language
English
Publication Type
Journal Article
Keywords
Adult
Attitude of Health Personnel
Female
Humans
Male
Middle Aged
Palliative Care - manpower - methods
Physical Therapists - standards - trends
Qualitative Research
Sweden
Abstract
A growing body of studies indicate benefits of physiotherapy for patients in palliative care, for symptom relief and wellbeing. Though physiotherapists are increasingly acknowledged as important members of palliative care teams, they are still an underutilized source and not fully recognized. The aim of this study was to explore the variety of activities described by physiotherapists in addressing the needs and problems of patients and their families in specialized palliative care settings.
Using a free-listing approach, ten physiotherapists working in eight specialized palliative care settings in Sweden described as precisely and in as much detail as possible different activities in which patients and their families were included (directly or indirectly) during 10 days. The statements were entered into NVivo and analysed using qualitative content analysis. Statements containing more than one activity were categorized per activity.
In total, 264 statements, containing 504 varied activities, were coded into seven categories: Counteracting a declining physical function; Informing, guiding and educating; Observing, assessing and evaluating; Attending to signs and symptoms; Listening, talking with and understanding; Caring for basic needs; and Organizing, planning and coordinating. In practice, however, the activities were intrinsically interwoven. The activities showed how physiotherapists aimed, through care for the body, to address patients' physical, psychological, social and existential needs, counteracting the decline in a patient's physical function and wellbeing. The activities also revealed a great variation, in relation not only to what they did, but also to their holistic and inseparable nature with regard to why, how, when, where, with whom and for whom the activities were carried out, which points towards a well-adopted person-centred palliative care approach.
The study provides hands-on descriptions of how person-centred palliative care is integrated in physiotherapists' everyday activities. Physiotherapists in specialized palliative care help patients and families to bridge the gap between their real and ideal everyday life with the aim to maximize security, autonomy and wellbeing. The concrete examples included can be used in understanding the contribution of physiotherapists to the palliative care team and inform future research interventions and outcomes.
Notes
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PubMed ID
29378566 View in PubMed
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Interprofessional palliative care problem-based learning: evaluation of a pilot module as a teaching and learning method.

https://arctichealth.org/en/permalink/ahliterature146849
Source
J Interprof Care. 2010 Mar;24(2):194-7
Publication Type
Article
Date
Mar-2010