Agreement in documentation of symptoms, clinical signs, and treatment at the end of life: a comparison of data retrieved from nurse interviews and electronic patient records using the Resident Assessment Instrument for Palliative Care

Steindal, Simen Alexander; Sørbye, Liv Wergeland; Bredal, Inger Schou; Lerdal, Anners

doi:10.1111/j.1365-2702.2011.03867.x

Cited by 12 publications

(7 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A total of 65 studies based on 41 706 patients were included in the final analysis. 6 -8,24 -85 Two of the included articles 24,26 were identified from articles’ reference lists. The majority of the studies (45/69%) were prospective (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Nzwalo

Aboim²,

Joaquim

et al. 2020

Am J Hosp Palliat Care

View full text Add to dashboard Cite

Introduction: The primary function of palliative care is to improve quality of life. The recognition and treatment of symptoms causing suffering is central to the achievement of this goal. Insomnia reduces quality of life of patients under palliative care. Knowledge about prevalence, associated factors, and treatment of insomnia in palliative care is scarce. Methodology: Literature review about the prevalence, predictors, and treatment options of insomnia in palliative care patients. Primary sources of investigation were identified and selected through Pubmed and Scopus databases. The research was complemented by reference search in identified articles and selected reviews. OpenGrey and Google Scholar were used for searching grey literature. Study quality analysis was based on the Newcastle-Ottawa Scale. Results: A total of 65 studies were included in the review. Most studies had acceptable /good quality. The prevalence of insomnia in the included studies ranged from 2.1% to 100%, with a median overall prevalence of 49.5%. Sociodemographic factors such as age; clinical characteristics such as functional status, disease stage, pain, and use of specific drugs, including opioids; psychological factors such as anxiety/depression; and spiritual factors such as feelings of well-being were identified as predictors. The treatment options identified were biological (pharmacological and nonpharmacological), psychological (visualization, relaxation), and spiritual (prayer). Conclusions: The systematic review showed that the prevalence of insomnia is high, with at least one in 3 patients affected in most studies. Insomnia’s risk factors and treatment in palliative care are both associated to physical, psychological, social, and spiritual factors, reflecting its true holistic nature.

show abstract

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Nzwalo

Aboim²,

Joaquim

et al. 2020

Am J Hosp Palliat Care

View full text Add to dashboard Cite

show abstract

“…The retrospective approach made it possible to include older patients who had not accepted that they were approaching end of life, older patients who were too ill to participate in a prospective study and older patients whose terminal state was not recognised by the patients or healthcare workers (Klinkenberg et al, 2004;Hales et al, 2010). Although the validity of symptoms at the end of life collected from EPR may be questioned (Steindal et al, 2012), previous studies indicate that the documentation of pain by healthcare workers appears to be reliable (Teunissen et al, 2007;Steindal et al, 2012). A systematic review, conducted by Teunissen et al (2007), found that the prevalence of symptoms in advanced cancer patients varies among studies using different methods.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

The last three days of life: a comparison of pain management in the young old and the oldest old hospitalised patients using the Resident Assessment Instrument for Palliative Care

Steindal

Bredal

Ranhoff

et al. 2014

Int J Older People Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

“…The researchers previously assessed agreement between data retrieved from interviews with nurses and data from electronic patient records concerning hospitalised patients' symptoms, clinical signs and treatment during the last 3 days of life (Steindal et al, 2012). In the present article, the variables with moderate or better agreement (kappa 0.41 or higher) were included.…”

Section: Data Collectionmentioning

confidence: 99%

Last three days of life in the hospital: a comparison of symptoms, signs and treatments in the young old and the oldest old patients using the Resident Assessment Instrument for Palliative Care

Steindal¹,

Ranhoff²,

Bredal³

et al. 2012

Int J Older People Nursing

Self Cite

View full text Add to dashboard Cite

With the exception of more falls and peripheral oedema in the oldest old patients, this study showed no differences in symptoms and treatment between the young old and the oldest old patients. Delirium was poorly documented compared to other studies. Implications for practice. The oldest old patients have a higher risk of falls in the final phase of life, and fall prevention should be considered.

show abstract

Agreement in documentation of symptoms, clinical signs, and treatment at the end of life: a comparison of data retrieved from nurse interviews and electronic patient records using the Resident Assessment Instrument for Palliative Care

Abstract: This study contributed to knowledge of agreement between data from nurse interviews and electronic records on symptoms, clinical signs and treatment of dying patients in last three days of life.

Cited by 12 publications

References 32 publications

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

The last three days of life: a comparison of pain management in the young old and the oldest old hospitalised patients using the Resident Assessment Instrument for Palliative Care

Last three days of life in the hospital: a comparison of symptoms, signs and treatments in the young old and the oldest old patients using the Resident Assessment Instrument for Palliative Care

Contact Info

Product

Resources

About