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Implementing Outcome Measures Within an Enhanced Palliative Care Day Care Model
Isae Kilonzo1, Michael Lucey1, Feargal Twomey1
1Department of Palliative Medicine, Milford Care Centre, Castletroy, Limerick, Republic of Ireland.
Journal of Pain and Symptom Management
|April 28, 2015
Summary
Specialist palliative care day care (SPDC) improved patient outcomes. This enhanced therapeutic model tracked symptoms, function, and quality of life, showing positive results in most patients after eight-week cycles.
Area of Science:
- Palliative Care
- Health Services Research
Background:
- Specialist palliative care day care (SPDC) units offer comprehensive services, enhancing continuity between inpatient and homecare.
- Diverse SPDC models exist, focusing on social, medical, therapeutic, or mixed care approaches.
Purpose of the Study:
- To introduce and evaluate an enhanced therapeutic SPDC model.
- To monitor patient outcomes using validated patient- and carer-rated tools.
Main Methods:
- Patients received multidisciplinary input over eight-week cycles.
- Validated tools including ESAS, EFAST, McGill QoL, and PCPSS were used for monitoring.
Main Results:
- 70.6% of patients improved on the Edmonton Symptom Assessment System (ESAS).
- 53% improved on the Edmonton Functional Assessment Tool (EFAST); 56% improved in overall Quality of Life (QoL).
- 58% improved on the Palliative Care Problem Severity Scale (PCPSS).
Conclusions:
- The enhanced therapeutic SPDC model effectively tracks progress and monitors patient status.
- Retrospective analysis indicates SPDC maintains and improves symptom control, function, QoL, and complexity.
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