Estimation of need for palliative care among noncancer patients attending a tertiary care hospital
Open Access
- 1 January 2017
- journal article
- research article
- Published by Scientific Scholar in Indian Journal of Palliative Care
- Vol. 23 (4), 403-408
- https://doi.org/10.4103/ijpc.ijpc_90_17
Abstract
Context: Palliative care services, until recently, were mainly restricted to cancer patients with incurable diseases. Hence, evaluative studies of palliative care are sparse in areas other than oncology. Aims: To estimate what proportion of patients attending the Departments of Neurology, Cardiology, and Nephrology of Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, required palliative care and to identify the palliative care needs of those patients. Settings and Design: This was an exploratory descriptive study conducted in the three departments of JIPMER. Materials and Method: There was no predetermined sample size for the study. The participants were all adult inpatients and outpatients who were in need of palliative care in the departments of Cardiology, Nephrology, and Neurology on the day of study. Statistical Analysis: Percentage distribution was used to analyze the categorical variables such as education, gender, age, patients in need of palliative care, and their needs. Results: The study showed that one in ten non-cancer patients in tertiary care hospitals may require palliative care services. Apart from issues in physical domain, a substantial proportion of participants also had issues in the psychological, emotional, and financial domains. Conclusion: This study highlights the need for incorporation and initiation of palliative care services in other non-cancer specialties in tertiary care hospitals to ensure holistic management of such cases. Counseling service has also to be rendered as part of palliative care since a good share of the patients had psychological and emotional issues.Keywords
This publication has 11 references indexed in Scilit:
- Palliative Care among Heart Failure Patients in Primary Care: A Comparison to Cancer Patients Using English Family Practice DataPLOS ONE, 2014
- Palliative care need and management in the acute hospital setting: a census of one New Zealand HospitalBMC Palliative Care, 2013
- Palliative care in India: Current progress and future needsIndian Journal of Palliative Care, 2012
- Palliative inpatients in general hospitals: a one day observational study in BelgiumBMC Palliative Care, 2011
- Pattern of referral of noncancer patients to palliative care in the Eastern province of Saudi ArabiaIndian Journal of Palliative Care, 2011
- Hospital-based palliative care: A case for integrating care with cureIndian Journal of Palliative Care, 2011
- Validity, reliability and clinical feasibility of a Needs Assessment Tool for people with progressive cancerPsycho‐Oncology, 2010
- Palliative Care Consultations in Hospitalized Stroke PatientsJournal of Palliative Medicine, 2010
- Symptom burden and quality of life in end-stage renal disease: a study of 179 patients on dialysis and palliative carePalliative Medicine, 2009
- Descriptive epidemiological survey on a given day in all palliative care patients hospitalized in a French university hospitalPalliative Medicine, 1999