Dying at home: enablers and barriers.

Anna Dowd, Melanie Davies, Sarah Short, Ruth Morrison, Cheryl Spiller, Jill Carter, Peter Eastman
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Abstract

Background: According to the Grattan institute in 2014, 70% of Australians indicated a preference to die at home, however, only 14% of all deaths were at home.

Aims: To identify how patients can be supported to die at home if that is their preference.

Methods: A retrospective medical record audit of eligible Community Palliative Care (CPC) patients who indicated a wish to die at home was undertaken.

Findings: Out of a total of 114 patients, 74% indicated a preference to die at home. Of these, 66% achieved a home death, and most lived with a carer. Enablers for home death included family support, regular nursing visits and equipment. People who attended an emergency department in their last month of life, lived alone or were undergoing oncological treatment were more likely to die elsewhere.

Conclusion: A range of enablers and barriers to home death were found, with many of the enablers being factors that prevented hospital presentations.

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在家死亡:促成因素和障碍。
背景:根据2014年格拉坦研究所的数据,70%的澳大利亚人表示更愿意在家中死亡,然而,只有14%的人在家中死亡。目的:确定如何支持患者在家中死亡,如果这是他们的选择。方法:对符合条件的社区姑息治疗(CPC)患者进行回顾性医疗记录审计,这些患者表示希望在家中死亡。结果:在114名患者中,74%的患者表示倾向于在家中死亡。其中66%的人在家中死亡,大多数人与照顾者生活在一起。促成家庭死亡的因素包括家庭支持、定期护理访问和设备。那些在生命的最后一个月进过急诊室、独居或正在接受肿瘤治疗的人更有可能死在其他地方。结论:发现了一系列家庭死亡的促成因素和障碍,其中许多促成因素是阻止医院就诊的因素。
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来源期刊
CiteScore
1.20
自引率
10.00%
发文量
65
期刊介绍: Since its launch in 1995, International Journal of Palliative Nursing (IJPN) has been committed to promoting excellence in palliative and hospice care. It is now established as the leading journal for nurses working in this most demanding profession, covering all aspects of palliative care nursing in a way which is intelligent, helpful and accessible, and so useful in daily practice. The aim of IJPN is to provide nurses with essential information to help them deliver the best possible care and support for their patients. Each issue contains an unparalleled range of peer-reviewed clinical, professional and educational articles, as well as helpful and informative information on practical, legal and policy issues of importance to all palliative nurses.
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