Identifying the palliative care needs of frail, older, housebound patients in the community: A cross-sectional study.
Caregiver burden
Frailty
Palliative care
Spirituality
Symptom assessment
Journal
Palliative & supportive care
ISSN: 1478-9523
Titre abrégé: Palliat Support Care
Pays: England
ID NLM: 101232529
Informations de publication
Date de publication:
20 Feb 2023
20 Feb 2023
Historique:
entrez:
21
2
2023
pubmed:
22
2
2023
medline:
22
2
2023
Statut:
aheadofprint
Résumé
The early introduction of palliative care can have a positive impact on the quality of life of patients suffering from life-limiting diseases. However, the palliative care needs of older, frail, housebound patients are still mostly unknown, as is the impact of frailty on the importance of these needs. To identify the palliative care needs of frail, older, housebound patients in the community. We conducted a cross-sectional observational study. This study took place in a single primary care center and included patients who were ≥65 years old, housebound, followed by the Geriatric Community Unit of the Geneva University Hospitals. Seventy-one patients completed the study. Most patients were female (56.9%), and mean age (SD) was 81.1 (±7.9). The Edmonton Symptom Assessment Scale mean (SD) score was higher in frail patients as opposed to vulnerable patients for tiredness ( Older, frail, housebound patients have specific needs that differ from non-frail patients and should guide future palliative care provision. How and when palliative care should be provided to this population remains to be determined.
Sections du résumé
BACKGROUND
BACKGROUND
The early introduction of palliative care can have a positive impact on the quality of life of patients suffering from life-limiting diseases. However, the palliative care needs of older, frail, housebound patients are still mostly unknown, as is the impact of frailty on the importance of these needs.
OBJECTIVES
OBJECTIVE
To identify the palliative care needs of frail, older, housebound patients in the community.
METHODS
METHODS
We conducted a cross-sectional observational study. This study took place in a single primary care center and included patients who were ≥65 years old, housebound, followed by the Geriatric Community Unit of the Geneva University Hospitals.
RESULTS
RESULTS
Seventy-one patients completed the study. Most patients were female (56.9%), and mean age (SD) was 81.1 (±7.9). The Edmonton Symptom Assessment Scale mean (SD) score was higher in frail patients as opposed to vulnerable patients for tiredness (
SIGNIFICANCE OF RESULTS
CONCLUSIONS
Older, frail, housebound patients have specific needs that differ from non-frail patients and should guide future palliative care provision. How and when palliative care should be provided to this population remains to be determined.
Identifiants
pubmed: 36803464
doi: 10.1017/S1478951523000056
pii: S1478951523000056
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM