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Retrospective clinical audit of outcomes for patients admitted to an inpatient palliative care unit for restorative care

Runacres, Fiona, Gregory, Heidi and Ugalde, Anna 2016, Retrospective clinical audit of outcomes for patients admitted to an inpatient palliative care unit for restorative care, BMJ supportive & palliative care, vol. 9, pp. 97-100, doi: 10.1136/bmjspcare-2014-000774.

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Title Retrospective clinical audit of outcomes for patients admitted to an inpatient palliative care unit for restorative care
Author(s) Runacres, Fiona
Gregory, Heidi
Ugalde, AnnaORCID iD for Ugalde, Anna
Journal name BMJ supportive & palliative care
Volume number 9
Start page 97
End page 100
Total pages 4
Publisher BMJ Publishing
Place of publication London, Eng.
Publication date 2016
ISSN 2045-435X
Keyword(s) Palliative care
Restorative care
Clinical audit
Summary Background Restorative care in palliative care is a subset of rehabilitation that aims to improve quality of life through restoration or maintenance of physical functions. Outcomes for restorative care programmes delivered by palliative care units have not adequately been assessed.

Objectives The objectives are to examine the outcomes of a restorative care programme in an inpatient palliative care unit, including discharge destination, performance status changes and length of stay.

Methods Retrospective clinical audit of consecutive patients admitted to Calvary Health Care Bethlehem in Melbourne, Australia, principally for restorative care from July 2010 to December 2011.

Results 79 admissions met inclusion criteria. Mean age was 76.5 years (SD=11.14) and 43 (54%) were men. 75 (95%) patients had a malignant diagnosis; of these, the majority had lung cancer (24%). 16 patients (20%) were discharged home, 51 (65%) died and 12 (15%) were transferred. Of the patients discharged home, only 6 (38% of those discharged home) improved their performance status. Those discharged home had a significantly shorter length of stay (17 days compared to 39 days; p<0.05). Patients discharged home also had significantly better Australia-modified Karnofsky Performance Status (AKPS) and Resource Utilisation Groups-Activities of Daily Living (RUG-ADL) scores on admission than others (both p<0.05).

Conclusions The majority of patients referred for restorative care died during admission, with only a minority discharged home. Patients discharged most commonly experienced maintenance and not improvement in performance status. A successful discharge home following restorative care was associated with a shorter length of stay. Implications and recommendations for successful restorative care will be discussed.
Language eng
DOI 10.1136/bmjspcare-2014-000774
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, BMJ Publishing
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Document type: Journal Article
Collections: School of Nursing and Midwifery
Quality and Patient Safety Research
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