Hospital palliative care teams improve the insight of cancer patients into their disease

Jack, B., Hillier, V., Williams, A. and Oldham, J. (2004) Hospital palliative care teams improve the insight of cancer patients into their disease. The Palliative Care Congress, 17-19 March, University of Warwick.

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Abstract

Background: It is reported that cancer patients want as much information as possible about their diagnosis and prognosis. This input regarding patient’s insight into their disease is undoubtedly a major part of providing optimal palliative care. Despite this there is little information regarding the impact of hospital based palliative care teams. The aim of this study was to assess the effect of the hospital palliative care team on cancer patient’s insight to their disease. Methodology: An evaluation study comprising a non-equivalent control group design, using a quota sample, investigated 100 cancer patients admitted to hospital for symptom control. 50 patients received hospital palliative care team intervention compared with 50 patients receiving traditional care. Outcome was assessed using the PACA assessment tool on 3 occasions (within 24 hours of admission/diagnosis or referral to the team, day 4 and day 7) measuring the patients self reported understanding of their illness. Additionally a qualitative approach including 31 semi-structured interviews with doctors and nurses to explore their perception of the palliative care team impact on cancer patients insight it their disease was undertaken. Results and discussion: The results indicated that cancer patients admitted to hospital for symptom control demonstrated an improvement in their insight to their diagnosis (PB/0.01). Those patients who had the additional input of the palliative care team had a greater improvement in their insight scores (between initial and final assessments) from 3.98 to 2.02 (mean score), compared to the standard care group that displayed an improvement from 4.86 to 4.26. This input was reported by the doctors and nurses as being invaluable for the patients. Potential explanations are made for these results including enhanced communication skills of the palliative care team are explored.

Item Type: Conference or Workshop Item (Poster)
Subjects: R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
R Medicine > RT Nursing
Divisions: Nursing and Midwifery
Date Deposited: 07 Feb 2011 15:01
URI: http://repository.edgehill.ac.uk/id/eprint/2412

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