Analytical study of short- and long-term results of home-based palliative care services to cancer patients

Datta, Dhritiman; Majumdar, G.; Debbarma, Shiromani; Janapati, Badan; Datta, Amit Kumar

doi:10.4103/ijpc.ijpc_46_17

Cited by 5 publications

(2 citation statements)

References 3 publications

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“…Home care was preferred by most patients during end of life which is similar ndings in other studies [9,10]. Patients wanted to spend time with family and friends which is not possible in a hospital setup in the last hours of life.…”

Section: Discussionsupporting

confidence: 70%

End of Life Care Practices at a Tertiary Cancer Centre in India: An Observational Study

Maurya,

Gupta,

Rathore

et al. 2024

Am J Hosp Palliat Care

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Purpose To assess the End of life care (EOLC ) practices and the magnitude of futile care in a tertiary cancer center. To find out the barriers in provision of good EOLC in cancer patients. Methods An observational study was done on 129 patients. Patients were enrolled using the palliative prognostic index (PPI) in the end of life stages. Socio-demographic and clinical details were recorded. Detailed counselling done by the palliative physician or the oncologist was recorded. The barriers in provision of care were recorded. Results In this study initial experience of 129 patients were analyzed. PPI score was >6 (survival shorter than 3 weeks) in 85 (65.89%) ; 34 (26.36%) had PPI score between >4 to 6 (survival between 3 to 6 weeks); and 10 (7.75%) patients had PPI score less than equal to 4( survival more than 6 weeks).77 (59.69%) patients preferred home as their place for EOLC while 41(31.78%) preferred hospital, 7 (5.43%) preferred hospice while 4 (3.10%) opted ICU for their EOLC . The most common barrier associated was caregiver related in 34 case, followed by physician related in 14 cases and patients related in 3 cases, because of hope of being cured in hospital, social stigma, fear of worsening of symptoms at home, denial. Conclusion EOLC is the least studied part of patient care with various barriers. With proper communication and a good palliative care support, futile treatment can be avoided. With healthy communication we can empower family members and patients for a good EOLC.

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Section: Discussionsupporting

confidence: 70%

End of Life Care Practices at a Tertiary Cancer Centre in India: An Observational Study

Maurya,

Gupta,

Rathore

et al. 2024

Am J Hosp Palliat Care

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“…However, the reasons behind the better psychosocial wellbeing were not explored in our study. Although studies have shown that home care team visits psychologically boost the patients and make them feel valued [22,23]. Also, our country's social and family structure might contribute to these patients' psychosocial wellbeing.…”

Section: Plos Onementioning

confidence: 99%

Quality of life of the cancer patients receiving home-based palliative care in Dhaka city of Bangladesh

et al. 2022

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Background The concept of home-based palliative care has been recently introduced in Bangladesh, but the patients’ quality of life remains unexplored. This study aimed to assess the quality of life and its determinants of the cancer patients receiving home-based palliative care in Dhaka, Bangladesh. Methods This cross-sectional study was conducted among 51 surviving cancer patients above 18 years registered under the home-based care service of the Department of Palliative Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Data was collected by face-to-face interview using a structured questionnaire based on the “Functional Assessment of Chronic Illness Therapy-Palliative (FACIT-Pal)” questionnaire from February to March 2019. Descriptive analysis was done for the socio-demographic, disease and treatment related factors. Mann-Whiteney U test, Kruskal-Wallis H test, and logistic regression were done to determine the relationships between independent variables and QoL. Result The majority of the patients (76.5%) were women. The mean age of the respondents was 56.2±4.8 years. Common primary sites of cancer were breast (39.2%), gastrointestinal (17.6%), and genitourinary system (23.5%). The median duration of getting home-based care was four months. The most prevalent problems were pain, sadness, feeling ill, and lack of satisfaction regarding sexual life. The majority (88.2%) of the patients had an average and above-average quality of life. Although, 92.1%patients had average or above-average social and emotional wellbeing, 60.8% had below-average physical wellbeing. Patients’ marital status, belief about disease prognosis, and duration of getting home-based care had a positive influence, and age negatively influenced the quality of life. Conclusion The majority of the patients receiving home-based palliative care in Dhaka city had average or above-average quality of life. However, these patients had better social and emotional wellbeing, but the physical wellbeing and symptom control were below-average according to the individual domain.

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Pharmacist Involvement in Cancer Pain Management: A Systematic Review and Meta-Analysis

Shrestha

Blebil

et al. 2022

The Journal of Pain

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Analytical study of short- and long-term results of home-based palliative care services to cancer patients

Cited by 5 publications

References 3 publications

End of Life Care Practices at a Tertiary Cancer Centre in India: An Observational Study

End of Life Care Practices at a Tertiary Cancer Centre in India: An Observational Study

Quality of life of the cancer patients receiving home-based palliative care in Dhaka city of Bangladesh

Pharmacist Involvement in Cancer Pain Management: A Systematic Review and Meta-Analysis

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