Association between temporary discharge from the inpatient palliative care unit and achievement of good death in end‐of‐life cancer patients: A nationwide survey of bereaved family members

Aso, Sakiko; Hayashi, Nariyuki; Sekimoto, Go; Nakayama, Naoko; Tamura, Keiko; Yamamoto, Chieko; Aoyama, Maho; Morita, Tatsuya; Kizawa, Yoshiyuki; Tsuneto, Satoru; Shima, Yasuo

doi:10.1111/jjns.12474

Cited by 2 publications

(5 citation statements)

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“…A systematic review and meta-analysis looking at transitions from acute care to home for older adults concluded that there are very few interventions focused on the older population; however, older adults are at greater risk for hospital readmission following transitions home (Lee et al, 2022). Furthermore, only two articles discussed the caregiver and family perspective during these transitions (Aso et al, 2022;Menzies & Hanger, 2011). Another systematic review also found that perspectives from caregivers are underreported in intervention studies and recommended that caregiver perspectives be included in future research (Davis et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Most articles (n=22) did not specifically look at a certain disease population. However, when disease populations were reported, the articles included patients with cancer (Aso et al, 2022;Masel et al, 2014Masel et al, , 2015Zhang et al, 2017), chronic illness (Lenaghan, 2019), dementia (Lenaghan, 2019), or hip fracture (Nikolaus et al, 1999).…”

Section: Description Of Included Articlesmentioning

confidence: 99%

“…Studies reporting patient inclusion criteria generally included patients with a life expectancy of less than six months or a Palliative Performance Scale (PPS) score that was less than 50% (Reyes-Ortiz et al, 2015;Shinall et al, 2019). Four articles addressed transitions home for end-of-life populations (Aso et al, 2022;Reyes-Ortiz et al, 2015;Santa-Emma et al, 2002;Toles et al, 2021).…”

Section: Description Of Included Articlesmentioning

confidence: 99%

“…Three articles included the perspective of caregivers and family members (Aso et al, 2022;Menzies & Hanger, 2011;Toles et al, 2021).…”

Section: Description Of Included Articlesmentioning

confidence: 99%

“…Self-perceived health 1 (Nikolaus et al, 1999) Successful discharge (remaining in the community for 31 days after discharge without unplanned rehospitalization or death) 1 (Middleton et al, 2018) Survival rate (time from palliative care unit admission to death) 1 (Zhang et al, 2017) Time to readmission 1 (Zhang et al, 2017) Whether good death was achieved (measured using the Good Death Inventory survey 1 (Aso et al, 2022)…”

mentioning

confidence: 99%

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Facilitating Equitable Subacute-to-Home Transitions for Patients Receiving Palliative and/or End-of-Life Care: A Literature Review

McCoy,

Al Hafi,

Downar

et al. 2023

hpj

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Introduction: As people in subacute facilities approach the end of life, the focus of their care often shifts to comfort as they seek to return home. Interventions that aim to improve hospital-to-home transitions do not generally focus on subacute care. Objective: To summarize the existing literature on subacute-to-home transitions for individuals receiving palliative care near the end of life, and to explore whether these interventions are targeted toward marginalized groups to improve their transition experience. Methods: We searched the MEDLINE, Embase, HealthSTAR, and Cochrane Library electronic databases using terms related to end of life, palliative care, and transitions from subacute facilities to home. We identified 896 records and included 29 articles, 11 of which were intervention articles. We searched the 11 intervention articles for equity stratifiers. Results: Of the 29 included articles, four addressed transitions for end-of-life populations, three discussed family caregiver perspectives, and 11 were intervention studies, including regular home visit follow-ups, individualized transition care plans, and an individualized intervention with an advanced practice nurse. Subacute-to-home interventions showed positive outcomes such as reduced risk of hospital readmissions, reduced length of stays, and improved functional status. However, study limitations included small sample sizes, inconsistent definitions of outcomes, and incompletion due to COVID-19. No studies focused on marginalized groups. Conclusion/Discussion: While there was some literature supporting targeted interventions for subacute-to-home transitions for those receiving palliative care or end-of-life care, the included interventions did not target marginalized groups. Further research in these areas is required.

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Section: Discussionmentioning

confidence: 99%