Cristin-resultat-ID: 1065318
Sist endret: 20. januar 2015 14:14
Resultat
Sammendrag/abstract
2013

Cancer as the cause of death in a nursing home setting

Bidragsytere:
  • Liv Wergeland Sørbye

Tidsskrift

Journal of Geriatric Oncology
ISSN 1879-4068
e-ISSN 1879-4076
NVI-nivå 1

Om resultatet

Sammendrag/abstract
Publiseringsår: 2013
Publisert online: 2013
Trykket: 2013
Volum: 4
Sider: 95 - 96

Beskrivelse Beskrivelse

Tittel

Cancer as the cause of death in a nursing home setting

Sammendrag

CANCER AS THE CAUSE OF DEATH IN A NURSING HOME SETTING L. W. Sørbye 1,* 1Institute for Nursing and Health, Diakonhjemmet University College, 0319 Oslo, Norway Please indicate how you prefer to present your work if it is accepted: Oral or Poster presentation Introduction: Cancer patients are more likely to die in hospitals compared to non-cancer patients. In Norway, in the urban municipalities, less than 20% of cancer patients die in nursing homes, while in rural municipalities the proportion is 30-40% . The medical and paramedical staff in acute hospitals has a higher competence than in nursing homes. Objectives: This presentation compares the situation of cancer patients versus non-cancer patients in the last stage of life in a nursing home setting. Methods: 1) Literature search in PubMed and Ovid Nursing 2) clinical data from13 nursing home (spring 2012) - using the Resident Assessment Instrument for Palliative and qualitative data from open-ended questions. Results: A total of 70 deceased nursing home patients were included. Sixty non-cancer patients (88 years, SD =9.2) were in average older than the ten cancer patients (81years, SD 8.7). The mean length of stay in the nursing homes was 2.7 years (SD = 3.1) for noncancer patients, and 1.2 years (SD = 2.6) for cancer patients. The cancer patients had seldom Alzheimer or other types of dementia. The cancer patients were more often dehydrated and they got more often morphine injections ten non-cancer patients. In municipalities with palliative team, they were able to support the nursing home staff. The literature review revealed that cancer patients in nursing home had less access to cancer controls, radiotherapy, physical activities and parenteral nutrition compared to elderly outside a nursing home. Our clinical data confirmed this finings. Symptoms that could have detected new cases of cancer diagnosis may not be seen. However, due to troublesome symptoms and palliative care, there were no statistic significant variations between the two groups. Conclusion: Cancer patients may live in average more than 1 year in a nursing home setting. The staffs need to be aware of special needs, treatments and observation of the underlying course of the illness in cancer patients. References: Alonso-Babarro A, Astray-Mochales J, Dominguez-Berjon F, Genova-Maleras R, Bruera E, Diaz-Mayordomo A, et al. The association between in-patient death, utilization of hospital resources and availability of palliative home care for cancer patients.Palliat Med. 2013;27(1):68-75. Carpenter JG, Berry PH. Refractory Cancer Pain in a Nursing Home Resident. Journal of Hospice & Palliative Nursing. 2012; 14(8):516-21. Drageset J, Eide GE, Ranhoff AH. Cancer in nursing homes: characteristics and health-related quality of life among cognitively intact residents with and without cancer. Cancer Nurs. 2012;35(4):295-301. Duncan JG, Bott MJ, Thompson SA, Gajewski BJ. Symptom occurrence and associated clinical factors in nursing home residents with cancer. Research in Nursing & Health; 2009; 32(4):453-64. Monroe T, Carter M, Feldt K, Tolley B, Cowan RL. Assessing advanced cancer pain in older adults with dementia at the end-of-life. J AdvNurs. 2012;68(9):2070-8. Morello M, Marcon ML, Laviano A, Giometto M, Baruffi C, Zulian E, et al. Enteral

Bidragsytere

Aktiv cristin-person

Liv Wergeland Sørbye

  • Tilknyttet:
    Forfatter
    ved Fakultet for helsefag ved VID vitenskapelige høgskole
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