PMID- 24644165
OWN - NLM
STAT- MEDLINE
DCOM- 20160510
LR  - 20211021
IS  - 2045-4368 (Electronic)
IS  - 2045-435X (Print)
IS  - 2045-435X (Linking)
VI  - 5
IP  - 3
DP  - 2015 Sep
TI  - Preferred place of death for patients referred to a specialist palliative care 
      service.
PG  - 294-6
LID - 10.1136/bmjspcare-2012-000338 [doi]
AB  - OBJECTIVES: Understanding patients' preferences for place of death and supporting 
      patients to achieve their wishes has become a priority. This study aims to: (1) 
      examine preferences of patients referred to a specialist palliative care service; 
      (2) determine whether preferences of those who have been admitted as hospice 
      inpatients differ from those who have not; (3) identify reasons why preferred 
      place of death (PPD) is sometimes not recorded; and (iv) investigate whether 
      nominating a PPD relates to actual place of death. METHOD: PPD information was 
      collected as part of standard care for all patients referred to a specialist 
      palliative care service. Case notes were reviewed retrospectively for 1127 
      patients who died under the care of the service. RESULTS: Seventy-seven percent 
      of the patients expressed a PPD, a further 21% of patients had documented reasons 
      for PPD remaining unknown. Eighty percent of patients who had never been admitted 
      to the hospice wanted to die at home. In contrast, 79% of those with at least one 
      hospice inpatient admission wanted to die in the hospice. Patients who had an 
      unknown PPD were three times more likely to die in hospital. CONCLUSIONS: Most 
      patients in a specialist palliative care setting are willing to express a PPD. 
      Preferences differ for patients who had never been admitted as hospice inpatients 
      from those who have had at least one inpatient stay. Routine and ongoing 
      assessment of PPD are recommended to support patients' wishes at the end of life.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://group.bmj.com/group/rights-licensing/permissions.
FAU - Arnold, Elizabeth
AU  - Arnold E
AD  - Marie Curie Hospice Edinburgh, Edinburgh, UK.
FAU - Finucane, Anne M
AU  - Finucane AM
AD  - Marie Curie Hospice Edinburgh and University of Edinburgh, Edinburgh, UK.
FAU - Oxenham, David
AU  - Oxenham D
AD  - Marie Curie Hospice Edinburgh, Edinburgh, UK.
LA  - eng
PT  - Journal Article
DEP - 20130527
PL  - England
TA  - BMJ Support Palliat Care
JT  - BMJ supportive & palliative care
JID - 101565123
SB  - IM
MH  - Aged
MH  - *Attitude to Death
MH  - Female
MH  - Hospice Care/*psychology
MH  - Hospices/statistics & numerical data
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Palliative Care/*psychology
MH  - Patient Preference/*psychology
MH  - Retrospective Studies
MH  - Scotland
PMC - PMC4552913
OTO - NOTNLM
OT  - home
OT  - hospice
OT  - preferred place of care (PPC)
OT  - preferred place of death (PPD)
OT  - specialist palliative care
EDAT- 2014/03/20 06:00
MHDA- 2016/05/11 06:00
PMCR- 2015/08/29
CRDT- 2014/03/20 06:00
PHST- 2012/09/27 00:00 [received]
PHST- 2013/04/17 00:00 [accepted]
PHST- 2014/03/20 06:00 [entrez]
PHST- 2014/03/20 06:00 [pubmed]
PHST- 2016/05/11 06:00 [medline]
PHST- 2015/08/29 00:00 [pmc-release]
AID - bmjspcare-2012-000338 [pii]
AID - 10.1136/bmjspcare-2012-000338 [doi]
PST - ppublish
SO  - BMJ Support Palliat Care. 2015 Sep;5(3):294-6. doi: 
      10.1136/bmjspcare-2012-000338. Epub 2013 May 27.