Do Patient Who Die At Home On Hospice Care Experience Better Quality Of Life Than Those Who Die In The Hospital Setting?



Do patient who die at home on hospice care experience better quality of life than those who die in the hospital setting?

Introduction

Hospice is a comprehensive health care program that provides end-of-life care to patients with terminal illnesses defined by a life expectancy of six months or less. The program provides full-time medical and nonmedical services aimed at helping the patient and caregivers cope with physical and psychological end-of-life issues associated with a terminal disease. Central to the mission of hospice is the belief that people in the final stage of an incurable disease have the right to die with dignity and be free from controllable pain. Accordingly, the medical objective of hospice is focused on providing palliative management of symptoms related to the terminal illness with emphasis on pain control and preservation of physical functions rather than attempting to cure (McCue, 2009)..

PICOT Questions

Population: Patients who are undergoing the final stages of a fatal disease and die at home on a hospice.

Intervention: Hospice care is an entity that aids the patients who are undergoing fatal diseases to spend the end times under efficient and effective care at home.

Comparison: Besides the Hospice, a hospital is an option that can be resorted to by the patients undergoing fatal disease where there is lack of effective and efficient care in comparison to hospice.

Outcome: When the patient is shifted to a hospice rather than the house then the patient is said to undergo better continuity of care and eventually better quality of life that is left.

Time: No time frame.

Literature Review

Study 1A

Introduction: Statement of the problem

The costs and quality of care that is required by cancer patients has an impact on the preference in terms of resorting to a hospice and eventually result in expiring at home.

Research Question

The aim of the research is to examine a set of variations in terms of the costs and quality of end-of-life care, palliative outcomes and preferences that are said to be associated with an institution or in dying at home for cancer patients (McCue, 2009). Literature Review: The Search

The literature review has been reviewed via the concerned or the consulted expert in the fields and it is followed by the pilot study. The pilot study has been conducted which entails 20 bereaved relatives of the patient how died of cancer which aided in deciding the design that can be termed as the best when it comes to approaches (Bowen, 2007).. A postal approach is said to be chosen which is said to have the most apt strategy as well as the collection method when it comes to study considering the study population which is said to be larger in size as well s the robust postal research methodology via the bereaved relatives that are present in the UK. RCT was utilized in terms of postal vs. face-to-face methods whereby there was an adaptive version of the ...