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40
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Text
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Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1191/026921699677451150" target="_blank" rel="noreferrer">http://doi.org/10.1191/026921699677451150</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Prospective study of symptom control in 133 cases of palliative care inpatients in Shatin Hospital
Publisher
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Palliative Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
Subject
The topic of the resource
Female; Hospitalization; Male; Adult; Prospective Studies; Aged; quality of life; 80 and over; Human; Palliative Care; Neoplasms/th [Therapy]; Middle Age; Health Care; Quality Assurance; Hong Kong/ep [Epidemiology]; Neoplasms/ep [Epidemiology]
Creator
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Lo RS; Ding A; Chung TK; Woo J
Description
An account of the resource
We report a prospective study assessing the prevalence and severity of physical and nonphysical symptoms, and the benefits from treatment and intervention, in advanced cancer patients presenting to a local palliative care unit in Hong Kong. Patients were assessed by a modified version of the support team assessment schedule (STAS). The study highlighted some symptoms which needed better control, and also reinforced the team morale by demonstrating aspects where there was definite improvement. In general, the STAS was found to be practicable and acceptable by our patients and staff. The most important benefit gained from the study was the successful dissemination of the concept of audit and quality assurance throughout the unit, which is essential for continuous improvement in the future.
1999
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1191/026921699677451150" target="_blank" rel="noreferrer">10.1191/026921699677451150</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1999
80 And Over
Adult
Aged
Backlog
Chung TK
Ding A
Female
Health Care
Hong Kong/ep [Epidemiology]
Hospitalization
Human
Journal Article
Lo RS
Male
Middle Age
Neoplasms/ep [Epidemiology]
Neoplasms/th [therapy]
Palliative Care
Palliative Medicine
Prospective Studies
Quality Assurance
Quality Of Life
Woo J
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/j.jamda.2010.02.011" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jamda.2010.02.011</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Evaluation of a Continuous Quality Improvement Initiative for End-Of-Life Care for Older Noncancer Patients
Publisher
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Journal of the American Medical Directors Association
Date
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2011
Subject
The topic of the resource
Female; Humans; Male; Questionnaires; Aged; Total Quality Management; 80 and over; Hong Kong; Terminal Care/standards
Creator
An entity primarily responsible for making the resource
Woo J; Cheng JO; Lee J; Lo R; Hui E; Lum CM; Or KH; Yeung F; Wong F; Mak B
Description
An account of the resource
OBJECTIVES: The burden of suffering among patients with end-stage chronic diseases may be greater than those of cancer patients, as a result of longer duration of illness trajectory and high prevalence of symptoms, yet they may be less likely to receive palliative care services. To improve the quality of care of these patients, we carried out a continuous quality improvement initiative among medical and nursing staff of a convalescent facility. DESIGN: Evaluation of a quality improvement initiative. SETTING: Nonacute institution in Hong Kong SAR, China. PARTICIPANTS: The participants were patients with advanced chronic diseases not opting for active treatment. INTERVENTION: The intervention was a continuous quality improvement process carried out over a 3-month period, consisting of service reengineering, provision of guidelines and educational material, and interactive sessions to achieve culture change among staff. Evaluation before and after the intervention included patient symptoms checklist and quality-of-life measures for patients; quality-of-life and cost-of-care index for family members; quality-of-life and carer burden for staff; and use of various health care services. RESULTS: There were 80 and 89 participants in the pre- and post-intervention phase. The initiative resulted in shorter duration of stay, fewer investigations, fewer transfers back to the affiliated acute care hospital, and more follow-up by the outreach team, with no significant difference in mortality after adjusting for age and comorbidity. Symptoms of pain and cough were reduced, while there was a trend toward more constipation but less dizziness. Family members' satisfaction improved. CONCLUSIONS: It is possible to improve quality-of-life care for elderly patients with end-stage chronic diseases by staff education, and culture and system change, not only without additional resources, but likely savings were achieved in terms of reduced use of health care resources.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jamda.2010.02.011" target="_blank" rel="noreferrer noopener">10.1016/j.jamda.2010.02.011</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2011
80 And Over
Aged
Backlog
Cheng JO
Female
Hong Kong
Hui E
Humans
Journal Article
Journal Of The American Medical Directors Association
Lee J
Lo R
Lum CM
Mak B
Male
Or KH
Questionnaires
Terminal Care/standards
Total Quality Management
Wong F
Woo J
Yeung F