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Hospice-Palliative Care Activities of personnel in a Long-Term Care Hospital ; a retrospective chart review
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일개요양병원 호스피스·완화의료의 서비스의 직종별 행위 분석 : 후향적 의무기록 중심으로

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Type
Academic journal
Author
Hyun Cho (인제대학교) Heeyoung Lim (인제대학교)
Journal
Korea Academy Industrial Cooperation Society Journal of the Korea Academia-Industrial cooperation Society Vol.18 No.4 KCI Accredited Journals
Published
2017.4
Pages
570 - 577 (8page)

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Hospice-Palliative Care Activities of personnel in a Long-Term Care Hospital ; a retrospective chart review
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The purpose of this study was to provide a basis for the development of a health insurance payment system by exploring inpatient hospice & palliative care activities in a long-term care hospital by occupational personnel. The contents and frequency of inpatient hospice-palliative care activities were obtained retrospectively from the chart review of 12 terminally ill patients who died during the 6 months before their deaths. According to their occupational personnel, doctors were doing blood transfusion, family counseling, and medication guidance. Nurses’ main activities were airway suction, oxygen supply, EKG monitoring, observing patient’s status, helping medication and tube feeding. Other workers’ activities are as follows: social workers were applying individualized programs, physical therapists were doing electrostimulation, nutritionists were giving nutrition evaluation and meal rounding, and careworkers were assisting with meals and nutrition. Although certain nursing activities, like emotional support, were performed by nurses, the hospice-palliative activities from doctors, social workers and physical therapists were largely unavailable for terminally ill patients in a long-term care hospital. And some terminally ill patients were receiving too intensive and invasive medical cares for end end-of-life care. The results highlight the importance of valid measures of hospice-palliative care quality and the need for establishing an adequate reimbursement system for ensuring and improving end-of-life care.
#Long-term care hospital #Hospice and palliative care Nursing #Retrospective studies #Occupational personnel #Care activities

Contents

요약
Abstract
1. 서론
2. 연구 방법
3. 결과
4. 논의
5. 결론 및 제언
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