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Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals

Author

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  • Amy J. Thurston
  • Donna M. Wilson
  • Jessica A. Hewitt

Abstract

A descriptive-comparative study was undertaken to examine current end-of-life care needs and practices in hospital. A chart review for all 1,018 persons who died from August 1, 2008 through July 31, 2009 in two full-service Canadian hospitals was conducted. Most decedents were elderly (73.8%) and urbanite (79.5%), and cancer was the most common diagnosis (36.2%). Only 13.8% had CPR performed at some point during this hospitalization and 8.8% had CPR immediately preceding death, with 87.5% having a DNR order and 30.8% providing an advance directive. Most (97.3%) had one or more life-sustaining technologies in use at the time of death. These figures indicate, when compared to those in a similar mid-1990s Canadian study, that impending death is more often openly recognized and addressed. Technologies continue to be routinely but controversially used. The increased rate of end-stage CPR from 2.9% to 8.8% could reflect a 1994+ shift of expected deaths out of hospital.

Suggested Citation

  • Amy J. Thurston & Donna M. Wilson & Jessica A. Hewitt, 2011. "Current End-of-Life Care Needs and Care Practices in Acute Care Hospitals," Nursing Research and Practice, Hindawi, vol. 2011, pages 1-8, December.
    • Handle: RePEc:hin:jnlnrp:869302
    DOI: 10.1155/2011/869302
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