Current end-of-life care needs and care practices in acute care hospitals

• Author(s) / Creator(s)

  • Wilson, D.M.
  • Hewitt, J.A.
  • Thurston, A.J.

• A descriptive-comparative study was undertaken to examine current end-of-life care needs and practices in hospital. A chart review for all 1,018 persons who died from August 1, 2008 through July 31, 2009 in two full-service Canadian hospitals was conducted. Most decedents were elderly (73.8%) and urbanite (79.5%), and cancer was themost common diagnosis (36.2%). Only 13.8% had CPR performed at some point during this hospitalization and 8.8% had CPR immediately preceding death, with 87.5% having a DNR order and 30.8% providing an advance directive. Most (97.3%) had one or more life-sustaining technologies in use at the time of death. These figures indicate, when compared to those in a similar mid-1990s Canadian study, that impending death is more often openly recognized and addressed. Technologies continue to be routinely but controversially used. The increased rate of end-stage CPR from 2.9% to 8.8% could reflect a 1994+ shift of expected deaths out of hospital.

• Date created

  2011

• Subjects / Keywords

  • Acute care hospitals
  • End-of-life needs
  • Patient care

• Type of Item

  Article (Published)

• DOI

  https://doi.org/10.7939/R3SJ19Z24

• License

  Attribution 3.0 International