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Integrating a palliative care approach into nursing care homes for older people.

Authors
  • Smith, David1
  • Brown, Sarah2
  • 1 Clinical Nurse Specialist in Supportive and Palliative Care, Royal Brompton and Harefield NHS Trust, Harefield Hospital, London.
  • 2 Care Home Support Service Team Leader, St Luke's Hospice, Kenton.
Type
Published Article
Journal
International journal of palliative nursing
Publication Date
Oct 02, 2017
Volume
23
Issue
10
Pages
511–515
Identifiers
DOI: 10.12968/ijpn.2017.23.10.511
PMID: 29087754
Source
Medline
Keywords
License
Unknown

Abstract

Societies throughout the world are ageing and the proportion of people over 85 years of age is increasingly rapidly. In many countries a significant number of frail older people live in nursing care homes and will develop palliative care needs as they approach the end of their lives. In the United Kingdom around one fifth of those who die each year do so in a care home. Many of these will be cared for by generalist nurses and doctors without specific skills and knowledge in end-of-life care. Following a one-year pilot of the introduction of a nursing home facilitator post to introduce the principles of a palliative care approach into three nursing care homes for older people, the number of residents dying in hospital reduced by 25%.

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