How people die in hospital general wards: A descriptive study

Franco Toscani, Paola Di Giulio, Cinzia Brunelli, Guido Miccinesi, Dario Laquintana

Research output: Contribution to journalArticle

Abstract

To describe how patients die in hospital, 370 patients (age >18 years; in hospital for > 24 hours) who died on the general wards of 40 Italian hospitals were assessed. Differences between patients whose death was expected and patients whose death was unexpected were evaluated. Data on treatments and care in proximity of death were collected after interviewing the nurse responsible for the patient within 72 hours of the patient's death, and from clinical and nursing records. For 58% of patients, death was highly expected. Symptom control was inadequate for the most severely ill patients: 75% experienced at least one "severe" symptom (42% pain and 45% dyspnea). Nurses tended to judge patients' global care as "good" or "very good" (76%), in spite of the persistence of symptoms and the scant use of analgesics. Despite some encouraging signs of sensitivity to end-of-life problems, acute inpatient institutions in Italy still deal inadequately with the needs of dying persons.

Original languageEnglish
Pages (from-to)33-40
Number of pages8
JournalJournal of Pain and Symptom Management
Volume30
Issue number1
DOIs
Publication statusPublished - Jul 2005

Keywords

  • End-of-life
  • Hospital death
  • Palliative care
  • Symptom control
  • Terminal patients

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

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  • Cite this

    Toscani, F., Di Giulio, P., Brunelli, C., Miccinesi, G., & Laquintana, D. (2005). How people die in hospital general wards: A descriptive study. Journal of Pain and Symptom Management, 30(1), 33-40. https://doi.org/10.1016/j.jpainsymman.2005.01.013