95%(37)35 out of 37 people found this document helpful
This preview shows page 11 - 15 out of 21 pages.
Future Research on the topic hospice care and comfort medications should include a more diverse population of patients and caregivers, larger sample size and include nurses/healthcare workers from a variety of backgrounds. Patients should be followed from terminal diagnosis till death.ConclusionThere were several limitations to this literature review. One being only scholarly articles from within the past five years were included. Each article does reveal its own limitations including small sample size and limited participants. Recommendations can be offered but it is ultimately up to the interdisciplinary healthcare team to follow through with these recommendations. The literature review articles are relevant because they apply to daily hospice care clinical practice. Hospice patients and caregivers lack information and understanding of disease process and treatment, as well as, comfort measures, this can lead to misconceptions related to hospice care and comfort medications. The research reviewed proves that early education for hospice patients and caregivers is vital to quality of life and positive experiences at the end of life. Nurses and healthcare staff needto continue to educate caregivers and each other on end of life care and comfort measures. Appendix11
HOSPICE AND COMFORT MEDICATIONS12PICO(T): Comfort based care including pain management and symptom management is key to improving and maintaining quality of life of hospice patients, whether they are actively dying or in early stages of the end of life. In patients with terminal illness on hospice/palliative care service, does education of comfort medications, compared toeducation at the time of transition to actively dying improve pain, symptom management, quality of life and apprehension during the end of life. Systematic search via ShapiroLibrary multi-searchKey terms used for search: Comfort medication AND end of life AND educationn=49Articles reviewed and utilized n=7
HOSPICE AND COMFORT MEDICATIONSStudy CitationDesignMethodSampleDataCollectionDataAnalysisValidityReliabilityOliver, D. P., Wittenberg-Lyles, E., Washington, K., Kruse, R. L., Albright, D. L., Baldwin, P. K., . . . Demiris, G. (2013). Hospice caregivers' experiences withpain management: "I'm not a doctor, and I don't know if I helped her go faster or slower". Journalof Pain and Symptom Qualitativeinterview146 Caregivers of hospice patientsTranscripts reviewed and read 3 times, discussed and codedSAS forwindowsYes, clearlyprovided descriptive statistics of caregiver’s experiences with pain managementYes, can be reproduced, information was retrieved from ongoing randomized clinical trial 13
HOSPICE AND COMFORT MEDICATIONSManagement,46(6), 846-858. doi: 10.1016/j.jpainsymman.2013.02.011 Howes, J. (2015). Nurses’ Perceptions of Medication Use at the End of Life in an Acute Care Setting.