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Recognising and managing dying patients in the acute hospital setting: can we do better?
Bharathy Gunasekaran1, Caroline Scott2, Kathryn Ducharlet3,1
1Department of Medicine, St Vincent's Hospital, Victoria, Australia.
Abstract:
Healthcare professionals have limited formal end-of-life care training despite the large proportion of hospital deaths. A retrospective review of 201 acute hospital deaths revealed 166 (82.6%) had documentation to suggest the patient was dying but this was performed late with a median time between documentation and death of 0.84 days. Furthermore, 132 (66%) patients received an intervention in the final 48 h of life. This highlights the need to improve the recognition and management of dying patients in acute hospitals.
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