PMID- 25526286
OWN - NLM
STAT- MEDLINE
DCOM- 20150309
LR  - 20180429
IS  - 1357-6321 (Print)
IS  - 1357-6321 (Linking)
VI  - 20
IP  - 12
DP  - 2014 Dec
TI  - Do place-of-death preferences for patients receiving specialist palliative care 
      change over time?
PG  - 579-83
LID - 10.12968/ijpn.2014.20.12.579 [doi]
AB  - BACKGROUND: Discussing preferred place of death (PPD) with patients approaching 
      end of life is an important part of anticipatory care planning. Preferences at a 
      specific point in time have been described; however the extent to which 
      preferences may change is unclear. This study examines changes in PPD. METHODS: A 
      retrospective case note review of all patients who died under the care of a 
      specialist palliative care service during a 6-month period in 2012 was 
      undertaken. Notes relating to 299 patients were examined by a member of the 
      clinical team. RESULTS: Of the 204 patients who had more than one PPD assessment, 
      57% showed a change in preference status between the first and last assessment. 
      The majority changed from an unclarified preference to identifying a preferred 
      place. Only 15% of patients with two or more assessments switched from one 
      location to another. CONCLUSIONS: Most patients under the care of a specialist 
      palliative care service identify a preference for place of death as end of life 
      approaches. Only a minority change their preference once a preferred place has 
      been elicited. We recommend that patients are supported to explore their 
      preferences for PPD as part of specialist palliative care, and that preferences 
      are reviewed as end of life approaches.
FAU - Evans, Rebecca
AU  - Evans R
AD  - Core Medical Trainee, South East Scotland Deanery, 102 Westport, Edinburgh, UK.
FAU - Finucane, Anne
AU  - Finucane A
FAU - Vanhegan, Lynsey
AU  - Vanhegan L
FAU - Arnold, Elizabeth
AU  - Arnold E
FAU - Oxenham, David
AU  - Oxenham D
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int J Palliat Nurs
JT  - International journal of palliative nursing
JID - 9506762
MH  - *Death
MH  - Humans
MH  - *Palliative Care
MH  - *Patient Preference
MH  - United Kingdom
OTO - NOTNLM
OT  - Advance care planning
OT  - Change in preference
OT  - End of life
OT  - Home care
OT  - Hospice care
OT  - Preferred place of death
EDAT- 2014/12/20 06:00
MHDA- 2015/03/10 06:00
CRDT- 2014/12/20 06:00
PHST- 2014/12/20 06:00 [entrez]
PHST- 2014/12/20 06:00 [pubmed]
PHST- 2015/03/10 06:00 [medline]
AID - 10.12968/ijpn.2014.20.12.579 [doi]
PST - ppublish
SO  - Int J Palliat Nurs. 2014 Dec;20(12):579-83. doi: 10.12968/ijpn.2014.20.12.579.