Family members’ perceptions of end-of-life care across diverse locations of care

Gallagher, R. and Krawczyk, M. (2013) Family members’ perceptions of end-of-life care across diverse locations of care. BMC Palliative Care, 12, 25. (doi:10.1186/1472-684X-12-25) (PMID:23870101) (PMCID:PMC3750390)

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Abstract

Background: The goal of the study was to assess perceived level of satisfaction with end-of-life care, focusing on the last 48 hours of life. Methods: A previously validated instrument was used in a telephone survey with bereaved family members (n=90) of patients who died within an organization in British Columbia. Results: Bereaved family members had many unmet needs for information about the patient’s changing condition, the process of dying, how symptoms would be managed and what to do at the time of death. In addition, many bereaved relatives felt that the patient or resident had an unmet need for emotional support and that their own emotional needs were not addressed adequately. The last place of care had the most significant effect on all of these variables, with acute care and residential care having the most unmet needs. Hospice had the fewest unmet needs, followed by the palliative and the intensive care units. Conclusions: We discuss these findings in relation to overall satisfaction with care, focus on individual, ethno-cultural and diversity issues, information and decision-making, symptom management and attending to the family. We conclude by offering possible practices address the end-of-life needs of patients and family members.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Krawczyk, Dr Marian
Authors: Gallagher, R., and Krawczyk, M.
College/School:College of Social Sciences > School of Interdisciplinary Studies
Journal Name:BMC Palliative Care
Publisher:BioMed Central
ISSN:1472-684X
ISSN (Online):1472-684X
Copyright Holders:Copyright © 2013 Gallagher and Krawczyk
First Published:First published in BMC Palliative Care 12:25
Publisher Policy:Reproduced under a Creative Commons License

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