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Communication and decision making for patients with end stage diseases in an acute care setting
Carol Grbich1, Karen Parish, Karen Glaetzer
1Department of Palliative Care, Flinders University, and Repatriation General Hospital, Adelaide SA, Australia.
Abstract:
Twenty retrospective patient case studies were collated in an acute care teaching hospital using a case note audit and in addition interviews were undertaken with 40 nursing staff following the deaths of these patients in order to: analyse the end of life care received; identify any deficits in care provision and to enable the nursing division to target any inadequacies in care found. Findings indicated that communication between medical and nursing staff and between nursing staff, patients and family around end of life issues continue to be poor and that discussions regarding NFR decisions occurred too close to death, creating unnecessary stress for both patients and families. Recommendations regarding palliative approaches in the acute care setting are detailed.
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