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Related Experiment Videos

Effectiveness of two palliative support teams.

I J Higginson1, A M Wade, M McCarthy

  • 1Department of Epidemiology and Public Health, University College and Middlesex School of Medicine, London.

Journal of Public Health Medicine
|March 1, 1992
PubMed
Summary

This study assessed palliative care using the Support Team Assessment Schedule (STAS) for 227 patients. Results show significant improvements in most areas, highlighting the value of measuring key indicators for better patient outcomes.

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Area of Science:

  • Palliative Care Medicine
  • Healthcare Quality Improvement
  • Symptom Management

Background:

  • Palliative care aims to improve the quality of life for patients with life-limiting illnesses.
  • Measuring the effectiveness of palliative care support teams is crucial for optimizing patient outcomes.
  • The Support Team Assessment Schedule (STAS) is a validated instrument for assessing palliative care.

Purpose of the Study:

  • To evaluate the effectiveness of palliative care provided by two support teams using the STAS.
  • To identify key problems and areas for improvement in palliative care.
  • To assess changes in patient and family well-being throughout the course of palliative care.

Main Methods:

  • A prospective study of 227 consecutive patients receiving palliative care from two support teams.

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  • Utilized the Support Team Assessment Schedule (STAS) with 17 key indicators to measure care.
  • Compared STAS ratings at referral with ratings from the last week of the patient's life.

    • Main Results:

    • Overall STAS ratings improved in 83% of patients, with 15 of 17 indicators showing significant improvement.
    • Key issues at referral included family anxiety, symptom control, patient anxiety, and communication.
    • Despite improvements, patient anxiety and symptom control remained significant concerns at death; family anxiety and spiritual needs did not improve significantly.

    Conclusions:

    • The STAS is valuable for measuring key indicators in palliative care.
    • Significant improvements were observed in most assessed areas of palliative care.
    • Areas such as patient anxiety, symptom control, family anxiety, and spiritual needs require targeted interventions for enhanced palliative care.