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Titolo:
A comparison of the palliative care needs of patients dying from chronic respiratory diseases and lung cancer
Autore:
Edmonds, P; Karlsen, S; Khan, S; Addington-Hall, J;
Indirizzi:
Guys Kings & St Thomas Sch Med, Weston Educ Ctr, Dept Palliat Care & Policy, London SE5 9RJ, England Guys Kings & St Thomas Sch Med London England SE5 9RJ n SE5 9RJ, England
Titolo Testata:
PALLIATIVE MEDICINE
fascicolo: 4, volume: 15, anno: 2001,
pagine: 287 - 295
SICI:
0269-2163(200107)15:4<287:ACOTPC>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
TERMINAL ILLNESS; DYSPNEA;
Keywords:
palliative care; lung cancer; chronic obstructive pulmonary disease; terminal care; hospice;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Edmonds, P Guys Kings & St Thomas Sch Med, Weston Educ Ctr, Dept Palliat Care & Policy, Cutcombe Rd, London SE5 9RJ, England Guys Kings & St Thomas Sch Med Cutcombe Rd London England SE5 9RJ
Citazione:
P. Edmonds et al., "A comparison of the palliative care needs of patients dying from chronic respiratory diseases and lung cancer", PALLIAT MED, 15(4), 2001, pp. 287-295

Abstract

This paper reports on data from the Regional Study of Care for the Dying, conducted in 1990, and compares symptoms, care and service utilization for patients with chronic lung diseases (CLD) and lung cancer (LC) in the final12 months of life. Post-bereavement structured interviews were conducted with informal carers of 449 LC patients and 87 CLD patients. The LC patientswere significantly young er than those with CLD (P = 0.001) and these respondents were more likely to have been a spouse (P = 0.034). No differences were found in the mean number of symptoms reported by the two groups in thefinal year or week of life, although the CLD patients were more likely to have experienced these symptoms for longer. Significantly more patients with CLD than LC experienced breathlessness in the final year (94% CLD vs 78% LC, P < 0.001) and final week (91% CLD vs 69% LC, P < 0.001) of life. Significantly more LC patients were reported to have experienced anorexia (76% LC vs 67% CLD, P = 0.06) and constipation (59% LC vs 44% CLD, p = 0.01) in the final year of life. There were no differences in general practitioner use, but LC patients were reported to have received more help from district nurses (52% LC vs 39% CLD, P = 0.025) and from a palliative care nurse (29% LC vs 0% CLD. P < 0.001). More CLD patients were reported to have received help from social services (29% CLD vs 18% LC. P = 0.037). LC patients were reported to be more likely to have known they might die (76% LC vs 62% CLD,P = 0.003) and to have been told this by a hospital doctor (30% LC vs 8% CLD, P = 0.001). Among those that knew, LC patients were told earlier prior to death than CLD patients. This study suggests that patients with CLD at the end of life have physical and psychosocial needs at least as severe as patients with lung cancer.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 12:01:02