Out-of-hours specialist palliative care provision in an oncology centre: is                 it worthwhile?

Kendall, Clare; Jeffrey, David

doi:10.1191/0269216303pm770sr

Cited by 6 publications

(7 citation statements)

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“…Studies of palliative care services from other countries also often covered the first year(s) after the set up of a service and are seldom restricted to a telephone service for professionals [7,9,11]. Results of an analysis of one type of consultation over a longer period after the first 1-2 years were not published.…”

Section: Introductionmentioning

confidence: 99%

Telephone consultation in palliative care for cancer patients: 5 years of experience in The Netherlands

Teunissen

Verhagen

Brink

et al. 2006

Support Care Cancer

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Section: Introductionmentioning

confidence: 99%

Telephone consultation in palliative care for cancer patients: 5 years of experience in The Netherlands

Teunissen

Verhagen

Brink

et al. 2006

Support Care Cancer

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“…Survival beyond 48 hours: this was recorded in order to identify whether the patient would have died before being reviewed by the 'routine' service. Outcome of assessment: (a) recommendation to change medication; (b) recommendation to start or stop the Liverpool care pathway; 5 (c) other recommendation (e.g. hospice referral, discharge planning).…”

Section: Methodsmentioning

confidence: 99%

“…All data were completely anonymised. The following information was collected: Age, gender and diagnosis Assessment type: (a) face-to-face visit with patient; (b) family meeting; (c) discussion with health care professional; (d) telephone call. Nature of assessment: (a) first ever referral; (b) re-referral of previously discharged patient; (c) review of patient already on the current case load. Survival beyond 48 hours: this was recorded in order to identify whether the patient would have died before being reviewed by the ‘routine’ service. Outcome of assessment: (a) recommendation to change medication; (b) recommendation to start or stop the Liverpool care pathway; 5 (c) other recommendation (e.g. hospice referral, discharge planning). …”

Section: Methodsmentioning

confidence: 99%

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Is there a need for weekend face-to-face inpatient assessments by hospital specialist palliative care services? Evaluation of an out-of-hours service

Krikos

McGowan

et al. 2011

Palliat Med

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There is an increasing demand for hospital specialist palliative care services to be made more accessible outside of normal working hours. However, it has been argued that extended service provision could be misused and that specialist telephone advisory services are an adequate response to this demand. A 'routine' Saturday face-to-face visiting service was introduced into a hospital palliative care team and the service was evaluated to determine whether it was being utilised appropriately. A retrospective notes review of out-of-hours assessments was undertaken. Anonymised data relating to the nature of the interaction with the palliative care team and the outcome of the consultation were entered into an electronic database. A random sample of routine weekday interactions was also evaluated. A total of 336 Saturday and 93 weekday assessments were analysed. Most of the Saturday assessments resulted in a significant change in management (57%) or were undertaken on patients close to death (10%). There were 39/336 (12%) new referrals assessed on Saturdays. There were few differences between the nature of the Saturday and the weekday service and no evidence of 'inappropriate' referrals. We found clear evidence of the need for a specialist out-of-hours face-to-face inpatient visiting service for hospital palliative care.

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“…It is important that there is rapid patient-and familyfriendly access to palliative care services on a 24-hour basis. 21 This represents a positive institutional response to the complexity of the problems. It also meets the goals of palliative medicine to deliver not only humanitarian but comprehensive medical care.…”

Section: Henry Miller English Neurologistmentioning

confidence: 98%

What is Palliative Medicine? Motivations and Skills

Walsh

Hullihen

Induru

2011

Am J Hosp Palliat Care

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Palliative care began in the UK hospice movement in the late 1960s and has rapidly developed in many countries since. In some, it has become a fully recognized specialty with comprehensive training programs and recognized expertise in areas such as pain and symptom control. It is important to examine the formative influences and characteristic clinical expertise in palliative medicine. This article considers some of the conceptual, practical, and administrative challenges that have been faced in an effort to establish palliative medicine as a discrete field of specialized practice from a US perspective. We also comment on current issues in regard to education and research, and development of comprehensive palliative care programs in the United States.

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Out-of-hours specialist palliative care provision in an oncology centre: is it worthwhile?

Cited by 6 publications

References 0 publications

Telephone consultation in palliative care for cancer patients: 5 years of experience in The Netherlands

Telephone consultation in palliative care for cancer patients: 5 years of experience in The Netherlands

Is there a need for weekend face-to-face inpatient assessments by hospital specialist palliative care services? Evaluation of an out-of-hours service

What is Palliative Medicine? Motivations and Skills

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