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Presentation modality: poster
Section:
Nursing care research and long term conditions

 

 

 

REF.: 032
Country: United Kingdom

How do the levels of physician contact differ between cancer and heart failure patients in Scotland during the last four weeks of life?
Sargeant A, Seymour J, Payne S, Ingleton C, Ward S
Sheffield Hallam University, Sheffield (UK)

Mail delivery: Sheffield Hallam University, Mundella House, 34 Collegiate Crescent, Sheffield, S10 2BP (UK)

Rev Paraninfo digital, 2007: 2

How to cite this document

Sargeant A, Seymour J, Payne S, Ingleton C, Ward S. How do the levels of physician contac differ between cancer and heart failure patients in Scotland during the last four weeks of life? Rev Paraninfo Digital, 2007; 2. In: <http://www.index-f.com/para/n2/032.php> Consulted 17 de Agosto del 2022

 

ABSTRACT

Aim: To assess the level of physician contact with cancer and heart failure patients during the last four weeks of life as part of the baseline evaluation of the Marie Curie �Delivering Choice Programme� in the UK.
Method: We took a random sample of patients who died in hospital or at home from cancer or heart failure between January and June 2005 in Tayside, Scotland. For patients who died at home (n = 70), we studied their GP records for up to four weeks before death. For patients who died in hospital (n= 100), we studied their hospital notes for up to four weeks before death. We did not have the resources to cross reference notes where patients moved care settings. Using a structured pro forma we recorded the number of doctor-patient contacts, investigations and the prescribing of strong opioids.
Conclusion: 50 cancer patients died in hospital, and 50 at home. 50 HF patients died in hospital, and 20 at home. Heart failure patients who died in hospital received more physician contacts and investigations in the four weeks prior to death than cancer patients who died in hospital. Among all patients who died at home, cancer patients received more General Practitioner contacts and out of hours support than heart failure patients. In the final week of life all patients received increased clinical contacts. The results show that the focus of care for heart failure patients in hospital at the end of life remains primarily life prolonging rather than supportive.
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