Exploring whether the needs of dying patients in private sector hospitals are being met

 

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dc.contributor.advisor Myers, Jonny en_ZA
dc.contributor.author Van Heerden, Gretha en_ZA
dc.date.accessioned 2015-03-04T19:00:48Z
dc.date.available 2015-03-04T19:00:48Z
dc.date.issued 2003 en_ZA
dc.identifier.citation Van Heerden, G. 2003. Exploring whether the needs of dying patients in private sector hospitals are being met. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/12567
dc.description Includes bibliographical references. en_ZA
dc.description.abstract As palliative medicine is an area only beginning to develop as a speciality in South Africa, it was felt that an investigation into the situation with regard to dying patients in our own private sector hospitals was needed. The objectives were to ascertain whether patient and family needs are met as a means of an index of quality of care and to identify domains of care where improvement is needed most. The validated 'After death Bereaved Family Member interview' from the questionnaire for hospital purposes, as part of the Toolkit of instruments to Measure End-of-life Care (T.l.M.E.), was used as research instrument with the permission of the author Dr JM Teno. Domains that were investigated include the following: physical comfort and emotional support of the patient; focused attention on the individual patient; encouragement of advanced care planning; information and promotion of shared decision-making re care plan; provision of coordinated care of health professions; emotional and spiritual support of the family; and an overall rating for patient focused, family centred care. As a descriptive study with limited numbers this study cannot make any conclusive claims with regard to the care that all terminal patients receive in private hospitals in Port Elizabeth. Results indicate that the single domain with most opportunity to improve for both the oncology group and the general group is attention to the family. The model of patient-focused family-centred care, which is applicable to palliative care, makes this an urgent opportunity for improvement in the care of the dying patients in private hospitals. Control of pain and other symptoms remains an important medical and ethical issue, indicated in this research as needing attention. Information and promotion of shared decision-making is the other domain that warrants attention. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Palliative Medicine en_ZA
dc.title Exploring whether the needs of dying patients in private sector hospitals are being met en_ZA
dc.type Masters Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MPhil en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Van Heerden, G. (2003). <i>Exploring whether the needs of dying patients in private sector hospitals are being met</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/12567 en_ZA
dc.identifier.chicagocitation Van Heerden, Gretha. <i>"Exploring whether the needs of dying patients in private sector hospitals are being met."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2003. http://hdl.handle.net/11427/12567 en_ZA
dc.identifier.vancouvercitation Van Heerden G. Exploring whether the needs of dying patients in private sector hospitals are being met. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2003 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/12567 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Van Heerden, Gretha AB - As palliative medicine is an area only beginning to develop as a speciality in South Africa, it was felt that an investigation into the situation with regard to dying patients in our own private sector hospitals was needed. The objectives were to ascertain whether patient and family needs are met as a means of an index of quality of care and to identify domains of care where improvement is needed most. The validated 'After death Bereaved Family Member interview' from the questionnaire for hospital purposes, as part of the Toolkit of instruments to Measure End-of-life Care (T.l.M.E.), was used as research instrument with the permission of the author Dr JM Teno. Domains that were investigated include the following: physical comfort and emotional support of the patient; focused attention on the individual patient; encouragement of advanced care planning; information and promotion of shared decision-making re care plan; provision of coordinated care of health professions; emotional and spiritual support of the family; and an overall rating for patient focused, family centred care. As a descriptive study with limited numbers this study cannot make any conclusive claims with regard to the care that all terminal patients receive in private hospitals in Port Elizabeth. Results indicate that the single domain with most opportunity to improve for both the oncology group and the general group is attention to the family. The model of patient-focused family-centred care, which is applicable to palliative care, makes this an urgent opportunity for improvement in the care of the dying patients in private hospitals. Control of pain and other symptoms remains an important medical and ethical issue, indicated in this research as needing attention. Information and promotion of shared decision-making is the other domain that warrants attention. DA - 2003 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2003 T1 - Exploring whether the needs of dying patients in private sector hospitals are being met TI - Exploring whether the needs of dying patients in private sector hospitals are being met UR - http://hdl.handle.net/11427/12567 ER - en_ZA


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