The need for palliative care in home care patients. Prospective observational study with the implementation of two algorithms
. The need for palliative care in home care patients. Prospective observational study with the implementation of two algorithms.
INTRODUCTION: The early identification of patients with palliative care needs is crucial for defining appropriate care settings and interventions.
OBJECTIVE: To detect the need for palliative care in home care patients and to compare two instruments: the SPICT™ and the I-CURPAL-029.
METHODS: All new patients taken on in home care in the South-West and North-West Districts of the ASL Città di Torino between 27/12/2021 and 19/02/2022 were included and assessed with the two systems at intake, at two and six weeks. Data collected on patients: demographic characteristics, diagnosis, reason and duration of admission, reason for discharge, degree of autonomy and mobility, presence of cognitive and behavioural disorders, social support.
RESULTS: 170 patients were included. At admission, 99 (58.2%) patients with SPICT™ and 84 (49.4%) with I-CURPAL-029 were assessed as needing palliative care; 78 (45.9%) by both instruments. Of the 13 with a need for specialist palliation, 8 were transferred to specialist palliative care. Changes in patients' conditions between controls were detected by both instruments and only affected 12.4% of the sample. SPICT™ and I-CURPAL-029 were sensitive in detecting the need for palliation. SPICT™ was suitable for the home context due to the presence of indicators on caregiving.
CONCLUSIONS: Many patients in home care need palliative care. To support decisions for specialistic care, patients classified as palliative by SPICT™ could be assessed with I-CURPAL-029 to identify the need for specialist palliative care.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:42 |
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| Enthalten in: |
Assistenza infermieristica e ricerca : AIR - 42(2023), 4 vom: 31. Okt., Seite 189-198 |
| Sprache: |
Italienisch |
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| Weiterer Titel: |
Il bisogno di cure palliative nei pazienti in cure domiciliari attraverso l’applicazione di due algoritmi. Studio osservazionale prospettico |
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| Beteiligte Personen: |
Sechi, Lucia [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 18.01.2024 Date Revised 18.01.2024 published: Print Citation Status MEDLINE |
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| doi: |
10.1702/4178.41683 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM367211157 |
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| 245 | 1 | 4 | |a The need for palliative care in home care patients. Prospective observational study with the implementation of two algorithms |
| 246 | 3 | 3 | |a Il bisogno di cure palliative nei pazienti in cure domiciliari attraverso l’applicazione di due algoritmi. Studio osservazionale prospettico |
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| 500 | |a Date Revised 18.01.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a . The need for palliative care in home care patients. Prospective observational study with the implementation of two algorithms | ||
| 520 | |a INTRODUCTION: The early identification of patients with palliative care needs is crucial for defining appropriate care settings and interventions | ||
| 520 | |a OBJECTIVE: To detect the need for palliative care in home care patients and to compare two instruments: the SPICT™ and the I-CURPAL-029 | ||
| 520 | |a METHODS: All new patients taken on in home care in the South-West and North-West Districts of the ASL Città di Torino between 27/12/2021 and 19/02/2022 were included and assessed with the two systems at intake, at two and six weeks. Data collected on patients: demographic characteristics, diagnosis, reason and duration of admission, reason for discharge, degree of autonomy and mobility, presence of cognitive and behavioural disorders, social support | ||
| 520 | |a RESULTS: 170 patients were included. At admission, 99 (58.2%) patients with SPICT™ and 84 (49.4%) with I-CURPAL-029 were assessed as needing palliative care; 78 (45.9%) by both instruments. Of the 13 with a need for specialist palliation, 8 were transferred to specialist palliative care. Changes in patients' conditions between controls were detected by both instruments and only affected 12.4% of the sample. SPICT™ and I-CURPAL-029 were sensitive in detecting the need for palliation. SPICT™ was suitable for the home context due to the presence of indicators on caregiving | ||
| 520 | |a CONCLUSIONS: Many patients in home care need palliative care. To support decisions for specialistic care, patients classified as palliative by SPICT™ could be assessed with I-CURPAL-029 to identify the need for specialist palliative care | ||
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Cirio, Franco |e verfasserin |4 aut | |
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