End-of-life care in a rehabilitation centre for older people in Australia

Tan, Heather, Digby, Robin, Bloomer, Melissa, Wang, Yixin and O'Connor, Margaret 2013, End-of-life care in a rehabilitation centre for older people in Australia, Australasian journal on ageing, vol. 32, no. 3, pp. 184-187, doi: 10.1111/j.1741-6612.2012.00654.x.

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Title End-of-life care in a rehabilitation centre for older people in Australia
Author(s) Tan, Heather
Digby, Robin
Bloomer, MelissaORCID iD for Bloomer, Melissa orcid.org/0000-0003-1170-3951
Wang, Yixin
O'Connor, Margaret
Journal name Australasian journal on ageing
Volume number 32
Issue number 3
Start page 184
End page 187
Total pages 4
Publisher Wiley
Place of publication London, Eng.
Publication date 2013-09
ISSN 1440-6381
Keyword(s) aged
end-of-life care
palliative care
subacute care
Summary Aim
To investigate processes at the end of life for patients who died in a subacute evaluation and management facility for older people.

Methods
A retrospective chart audit for patients (n = 55) who died in the previous 2 years was undertaken, recording a number of significant variables.


Results
Despite diagnosis of comorbid medical conditions, most participants were admitted for improved functioning or assessment for alternative accommodation. Consistent with this focus, the key contact person was most often an allied health team member. Not For Resuscitation order and/or power of attorney documents on admission were uncommon (<30%) as were referrals to palliative care specialist staff (13%), although an end-of-life discussion was recorded (90%) and often included as a new goal of care (71%).

Conclusion
Factors likely to improve end-of-life care include advance care planning, earlier recognition of short prognosis and staff education.
Language eng
DOI 10.1111/j.1741-6612.2012.00654.x
Field of Research 111001 Aged Care Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081903

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