Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals
A descriptive-comparative study was undertaken to examine current end-of-life care needs and practices in hospital. A chart review for all 1,018 persons who died from August 1, 2008 through July 31, 2009 in two full-service Canadian hospitals was conducted. Most decedents were elderly (73.8%) and ur...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Nursing Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/869302 |
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| author | Amy J. Thurston Donna M. Wilson Jessica A. Hewitt |
| author_facet | Amy J. Thurston Donna M. Wilson Jessica A. Hewitt |
| author_sort | Amy J. Thurston |
| collection | DOAJ |
| description | A descriptive-comparative study was undertaken to examine current end-of-life care needs and practices in hospital. A chart review for all 1,018 persons who died from August 1, 2008 through July 31, 2009 in two full-service Canadian hospitals was conducted. Most decedents were elderly (73.8%) and urbanite (79.5%), and cancer was the most common diagnosis (36.2%). Only 13.8% had CPR performed at some point during this hospitalization and 8.8% had CPR immediately preceding death, with 87.5% having a DNR order and 30.8% providing an advance directive. Most (97.3%) had one or more life-sustaining technologies in use at the time of death. These figures indicate, when compared to those in a similar mid-1990s Canadian study, that impending death is more often openly recognized and addressed. Technologies continue to be routinely but controversially used. The increased rate of end-stage CPR from 2.9% to 8.8% could reflect a 1994+ shift of expected deaths out of hospital. |
| format | Article |
| id | doaj-art-4444b503dfca4142ad8910afb8d451c9 |
| institution | Kabale University |
| issn | 2090-1429 2090-1437 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Research and Practice |
| spelling | doaj-art-4444b503dfca4142ad8910afb8d451c92025-02-03T07:26:01ZengWileyNursing Research and Practice2090-14292090-14372011-01-01201110.1155/2011/869302869302Current End-of-Life Care Needs and Care Practices in Acute Care HospitalsAmy J. Thurston0Donna M. Wilson1Jessica A. Hewitt2BscN Program, Grant MacEwan University, City Centre Campus, Robbins Health Learning Centre, 10700-104 Avenue, Edmonton, AB, T5P 4S2, CanadaFaculty of Nursing, University of Alberta, Edmonton, AB, T6G 1C9, CanadaFaculty of Nursing, University of Alberta, Edmonton, AB, T6G 1C9, CanadaA descriptive-comparative study was undertaken to examine current end-of-life care needs and practices in hospital. A chart review for all 1,018 persons who died from August 1, 2008 through July 31, 2009 in two full-service Canadian hospitals was conducted. Most decedents were elderly (73.8%) and urbanite (79.5%), and cancer was the most common diagnosis (36.2%). Only 13.8% had CPR performed at some point during this hospitalization and 8.8% had CPR immediately preceding death, with 87.5% having a DNR order and 30.8% providing an advance directive. Most (97.3%) had one or more life-sustaining technologies in use at the time of death. These figures indicate, when compared to those in a similar mid-1990s Canadian study, that impending death is more often openly recognized and addressed. Technologies continue to be routinely but controversially used. The increased rate of end-stage CPR from 2.9% to 8.8% could reflect a 1994+ shift of expected deaths out of hospital.http://dx.doi.org/10.1155/2011/869302 |
| spellingShingle | Amy J. Thurston Donna M. Wilson Jessica A. Hewitt Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals Nursing Research and Practice |
| title | Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals |
| title_full | Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals |
| title_fullStr | Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals |
| title_full_unstemmed | Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals |
| title_short | Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals |
| title_sort | current end of life care needs and care practices in acute care hospitals |
| url | http://dx.doi.org/10.1155/2011/869302 |
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