End-of-Life Care and Quality of Dying in 23 Acute Geriatric Hospital Wards in Flanders, Belgium

Rebecca Verhofstede, Tinne Smets, Joachim Cohen, Kim Eecloo, Massimo Costantini, Nele Van Den Noortgate, Luc Deliens

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES: To describe the nursing and medical interventions performed in the last 48 hours of life and the quality of dying of patients dying in acute geriatric hospital wards.

METHODS: Cross-sectional descriptive study between October 1, 2012 and September 30, 2013. Twenty-three acute geriatric wards in 13 hospitals in Flanders, Belgium. Patients hospitalized for more than 48 hours before dying in the participating wards. Structured after-death questionnaires, filled out by the nurse, the physician, and the family carer most involved in end-of-life care. Main outcome measures were several nursing and medical interventions reported to be performed in the last 48 hours of life and the quality of dying.

RESULTS: Of 993 patients, we included 338 (mean age 85.7 years; 173 women). Almost 58% had dementia and nearly half were unable to communicate in the last 48 hours of their life. The most frequently continued or started nursing and medical interventions in the last 48 hours of life were measuring temperature (91.6%), repositioning (83.3%), washing (89.5%), oxygen therapy (49.7%), and intravenous fluids and nutrition (30%). Shortness of breath, lack of serenity, lack of peace, and lack of calm were symptoms reported most frequently by nurses and family carers.

CONCLUSION: Many nursing and medical interventions are continued or started in the last hours of a patient's life, which may not always be in their best interests. Furthermore, patients dying in acute geriatric wards are often affected by several symptoms.

Original languageEnglish
Pages (from-to)693-702
Number of pages10
JournalJournal of Pain and Symptom Management
Volume53
Issue number4
DOIs
Publication statusPublished - Apr 2017

Keywords

  • Aged
  • Aged, 80 and over
  • Belgium
  • Caregivers
  • Communication
  • Cross-Sectional Studies
  • Dementia
  • Family
  • Female
  • Hospitalization
  • Hospitals
  • Humans
  • Male
  • Middle Aged
  • Nurses
  • Physicians
  • Quality of Health Care
  • Retrospective Studies
  • Surveys and Questionnaires
  • Terminal Care
  • Journal Article

Fingerprint

Dive into the research topics of 'End-of-Life Care and Quality of Dying in 23 Acute Geriatric Hospital Wards in Flanders, Belgium'. Together they form a unique fingerprint.

Cite this