The impact of early palliative care on the quality of care during the last days of life: what does the evidence say?

Zambrano, Sofia C; Fliedner, Monica C; Eychmüller, Steffen (2016). The impact of early palliative care on the quality of care during the last days of life: what does the evidence say? Current opinion in supportive and palliative care, 10(4), pp. 310-315. Wolters Kluwer Health 10.1097/SPC.0000000000000240

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PURPOSE OF REVIEW The aim of this review is to critically appraise the existing evidence on 'early palliative care' (EPC), discuss its relationship with advance care planning, and to reflect on the impact of EPC on the quality of care provided during the last days of life. RECENT FINDINGS There are indicators that EPC may help to avoid aggressive treatment, shorten hospital stay, improve overall quality of life, and to see more frequently dying and death at the preferred place of care. SUMMARY The evidence from randomized controlled trials supports the integration of palliative care early in the disease trajectory. However, in terms of outcomes and quality indicators for care in the last days of life, evidence is still lacking. Predominantly, when it comes to the outcomes which may be more difficult to assess, such as spiritual aspects, or the social network, for which more comprehensive information is needed. These outcomes should not be neglected in palliative care studies, particularly when they can provide meaningful information about patient and family adjustment, and focus on psychosocial aspects rather than physical symptom control.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Medical Oncology
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Radiation Oncology

UniBE Contributor:

Eychmüller, Steffen

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1751-4266

Publisher:

Wolters Kluwer Health

Language:

English

Submitter:

Marianne Zahn

Date Deposited:

19 Apr 2017 11:33

Last Modified:

01 Jan 2018 02:35

Publisher DOI:

10.1097/SPC.0000000000000240

PubMed ID:

27635766

BORIS DOI:

10.7892/boris.94048

URI:

https://boris.unibe.ch/id/eprint/94048

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