Early Palliative Care Through Day Services.

W.George Kernohan, Joanne Elizabeth Jordan, Kevin Brazil

Research output: Contribution to conferencePoster

Abstract

The number of people requiring palliative care is increasing sharply. Forty per cent more people will need palliative care by 2040. Recommendations are that palliative care should be initiated at diagnosis, even concurrently with curative treatment. In response, Palliative Care Day Services are designed to support people during assessment and treatment through the provision of regular attendance at specialist centres to deliver out-patient services so that patients can remain at home. Such interventions have been found to be popular, but the evidence is limited. To inform further development, we undertook retrospective chart reviews at three Marie Curie centres: reviewing the records of people attending for the first time in a 12-month period.

We found: services were accessed mainly by older people with a primary diagnosis of cancer; referrals came mostly from: hospitals, other palliative care services or a GP; and people typically attended weekly for 6 or 12 weeks. In 82 cases, we found people had many physical (331), psychological (55), social (46) and spiritual (14) needs addressed. Day Services were provided by nurses, doctors and therapists. Patients had their medication regime reviewed and equipment was 'prescribed' as necessary. In a third of cases, support was also offered to a family member. About half of patients were helped to develop an advance care plan and almost 300 referrals were made to other health and social care services.

Day Services can provide specialist palliative care outside the inpatient unit to help address specific, pre-identified health and social care needs. The effectiveness of such services requires further investigation and chart reviews can be useful in contributing to such evaluations.
Original languageEnglish
Publication statusPublished - 6 Feb 2020
EventIrish Association of Palliative Care: Education & Research Seminar - Richmond Centre, Dublin, Ireland
Duration: 6 Feb 20206 Feb 2020

Conference

ConferenceIrish Association of Palliative Care
Abbreviated titleIAPC
CountryIreland
CityDublin
Period6/02/206/02/20

Fingerprint Dive into the research topics of 'Early Palliative Care Through Day Services.'. Together they form a unique fingerprint.

  • Research Output

    • 2 Article
    • 1 Conference contribution

    Exploring the costs, consequences and efficiency of three types of palliative care day services in the UK: a pragmatic before-and-after descriptive cohort study

    Mitchell, P., Coast, J., Myring, G., Ricciardi, F., Vickerstaff, V., Jones, L., Zafar, S., Cudmore, S., Jordan, J. E., Mc Kibben, L., Graham-Wisener, L., Finucane, A., Hewison, A., Haraldsdottir, E., Brazil, K. & Kernohan, W. G., 7 Aug 2020, In : BMC Palliative Care. 19, 1, p. 1-9 9 p., 119.

    Research output: Contribution to journalArticle

    Open Access
    File
  • 5 Downloads (Pure)

    Quality of life of patients attending Marie Curie day hospice over time: preliminary findings from a prospective cohort study

    Cudmore, S., Finucane, A., Holloway, G., Grundy, P., Haraldsdottir, E., Brazil, K. & Kernohan, W. G., 1 Sep 2018, BMJ Supportive and Palliative Care. BMJ Publishing Group, Vol. 8. p. 370-370 1 p. 28

    Research output: Chapter in Book/Report/Conference proceedingConference contribution

    Open Access
  • What is the value of attendance at palliative day care? A systematic review

    Kernohan, G., McIlfatrick, S., Hasson, F., Jordan, J., Coast, J., Finucane, A., Armour, K., McCorry, N. & Holman, M-R., 1 Apr 2015, In : Prospero. 1, 420150, p. 1-10

    Research output: Contribution to journalArticle

  • Cite this

    Kernohan, W. G., Jordan, J. E., & Brazil, K. (2020). Early Palliative Care Through Day Services.. Poster session presented at Irish Association of Palliative Care, Dublin, Ireland.