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How Does Home-Based Palliative Care Impact Informal Carers? A Scoping Review.

L Challis1, J Ellershaw2, D Hughes3

  • 1Department of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences (L.C., J.E., S.M.), University of Liverpool, Liverpool, United Kingdom; Hospice Isle of Man (L.C.), Douglas, Isle of Man.

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Summary
This summary is machine-generated.

Home-based palliative care offers support but can burden informal carers. This review synthesizes evidence on the complex impacts of these services on carers of patients with life-limiting illnesses.

Keywords:
Palliative carecaregiverhome care servicehome nursingreviewterminal care

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Area of Science:

  • Palliative Care
  • Informal Caregiving
  • Health Services Research

Background:

  • Informal carers provide crucial support for patients to receive care and die at home.
  • While rewarding, caregiving for those with life-limiting illnesses can lead to significant burden and reduced quality of life for carers.
  • Understanding the multifaceted impacts of home-based palliative care on informal carers is essential.

Purpose of the Study:

  • To systematically identify and synthesize existing evidence on the impacts of home-based palliative care services on informal carers.
  • To explore the complex effects experienced by carers of individuals with life-limiting conditions receiving palliative care at home.

Main Methods:

  • A comprehensive scoping review was conducted, searching multiple databases (MEDLINE, Scopus, CINAHL, Cochrane Library) and grey literature.
  • Searches covered publications from August 2012 to March 2025, adhering to Joanna Briggs Institute (JBI) methodological guidance.
  • Inclusion criteria focused on adult informal carers of adults with life-limiting conditions receiving home-based palliative care; thematic analysis was employed.

Main Results:

  • The review included 173 papers, revealing a complex landscape of impacts on informal carers.
  • Thematic analysis identified seven interrelated themes detailing the experiences of these carers.
  • Findings highlight both the supportive and burdensome aspects of home-based palliative care for informal caregivers.

Conclusions:

  • Home-based palliative care significantly impacts informal carers in various ways, necessitating further research into these complex dynamics.
  • Evidence synthesis underscores the need for targeted support strategies for informal carers navigating life-limiting illnesses.
  • Future research should continue to explore the nuanced experiences and needs of informal carers within home-based palliative care settings.