The experience of caring for patients at the end-of-life stage in non-palliative care settings: a qualitative study

• DOI: 10.1186/s12904-018-0372-7
• Publication Date: 2018-10-17T12:26:13Z
• Authors: Xiao Bin Lai; Frances Kam Yuet ...; Shirley Siu Yin C...
• Keywords: End-of-Life Care; Pain medicine; Curative care

More patients are dying in non-palliative care settings than palliative settings. How health providers for adult at the end-of-life stage has not been adequately explored. The aim of this study was to explore experiences caring settings.This is a qualitative study. Twenty-six from eight institutions which based Shanghai were interviewed individually between August 2016 and February 2017. Three levels care, i.e., acute sub-acute or primary provided institutions. interviews analyzed using content analysis.Three themes emerged interviews: (i) Definition stage: This mainly defined on change treatment. (ii) Health Most spent their last weeks tertiary/secondary hospitals, transferring one location another receiving disease- symptom-focused Family-dominated decision making common when discussing treatment options. Nurses instinctively extra attention patients, but nursing still task-oriented. (iii) Challenges, difficulties, future. From interviews, it found that pressure families main challenge faced by providers. urgent tasks before can become widely available future identified including educating public death, extending government support, creating better environment.The system should involve all levels, with established mechanisms collaboration Care be delivered various life-threatening diseases both But first, necessary address obstacles development providers, families, as whole.