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A novel acute basic palliation concept for patients without specialised palliative needs.

Mike B Astorp1,2,3, Dorte Melgaard1,3, Johannes Riis3,4

  • 1Department of Emergency Medicine and Trauma Care, Aalborg University Hospital.

Danish Medical Journal
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Summary

A new acute basic palliation concept (ABPC) improved symptom and end-of-life care scores for dying patients at home. Healthcare professionals overwhelmingly supported its future use, highlighting its potential in palliative care.

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Area of Science:

  • Palliative Care
  • Emergency Medicine
  • Healthcare Management

Background:

  • 80% of Danish dying patients receive non-specialized palliative care, an area with limited guidelines.
  • A pilot study developed and tested an acute basic palliation concept (ABPC) for home-based end-of-life care.
  • The ABPC is a structured care plan for patients discharged from emergency departments to die at home.

Purpose of the Study:

  • To develop and test an acute basic palliation concept (ABPC).
  • To compare the ABPC with standard care for patients nearing end-of-life (EOL).
  • To assess symptom scores and EOL care statement scores.

Main Methods:

  • A pilot study comparing standard care with the ABPC in two Danish emergency departments.
  • Included 50 patients (25 per period) aged 18+ nearing EOL.
  • Used unvalidated questionnaires to assess symptom and EOL care scores; surveyed healthcare professionals on future use.

Main Results:

  • Relatives reported improved symptom scores in 3 of 4 symptoms with ABPC.
  • Doctors and municipal caregivers reported better EOL care statement scores with ABPC.
  • All surveyed healthcare professionals (100%) would use ABPC again; 96% gave positive feedback.

Conclusions:

  • The ABPC showed improved symptom and EOL care scores according to relatives and healthcare professionals.
  • All healthcare professionals expressed willingness to reuse the ABPC.
  • Larger studies with validated instruments are recommended to confirm these findings.