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Safety issues at the end of life in the home setting
Susanna B Edwards1, Effie Galanis, Kay McGarvey
1Susanna B. Edwards, PhD, RN, is an Associate Professor, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada. Effie Galanis, MSW, RSW, is a Community Care Coordinator/Intensive Case Manager, Toronto Central Community Care Access Centre, Toronto, Ontario, Canada. Kay McGarvey, RN, CCHN(c), is a Clinical Resource Nurse, Saint Elizabeth Health Care, Toronto, Ontario, Canada. Catherine Prestwich, BScN, RN, CHPCN(c), is a Palliative Coordinator, Toronto Central Community Care Access Centre, Toronto, Ontario, Canada. Sheila Ritcey, PhD, PT, BSc, is a Consultant, Education and Ethics, Closing the Gap Healthcare Group, Mississauga, Ontario, Canada. Karina Wulf, BScN, RN, ACRN, CHPCN(c), Palliative Care Specialist, Toronto East General Hospital, Toronto, Ontario, Canada.
Abstract:
Patients who choose care in a home setting at the end of life may be at risk because of their declining cognitive or physical abilities, environmental hazards in the home, or caregiving issues. Although safety concerns in hospitals have been well documented, knowledge about safety issues in the home setting is limited. This qualitative, focused-ethnographic study was conducted to understand the safety issues that occur in the home setting from the perspective of home care clinicians who manage these issues for end-of-life patients.
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