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Decision and Practice of End-of-Life Care in Lung Disease Patients with Physicians Orders for Life Sustaining Treatment.
- Source :
-
Journal of Hospice & Palliative Care . Mar2023, Vol. 26 Issue 1, p7-17. 11p. - Publication Year :
- 2023
-
Abstract
- Purpose: The purpose of this study was to analyze end-of-life care practices in lung disease patients with physician orders for life-sustaining treatment (POLSTs). Methods: We retrospectively analyzed data from medical records regarding the end-of-life care practices of POLST decisions for patients with lung disease hospitalized at a tertiary hospital in Seoul, South Korea. Data were collected from January 1 to June 30, 2021. Results: Of 300 total patients, 198 had lung cancer (66.0%) and 102 had non-malignant lung diseases (34.0%). A POLST was written for 187 patients (62.3%), and an advance directive was written for 20 patients (6.7%). Subsequent treatments were hemodialysis in 13 patients (4.3%), surgery in 3 patients (1.0%), and cardiopulmonary cerebral resuscitation in 1 patient (0.3%). Among cancer patients, chemotherapy was performed in 11 patients (3.7%), targeted therapy in 11 patients (3.7%), immunotherapy in 6 patients (2.0%), and radiation therapy in 13 patients (4.3%). Depending on the type of lung disease, types of treatment differed, including hemodialysis, ventilators, bilevel positive airway pressure, high-flow nasal cannulas, nebulizers, enteral nutrition, central line, inotropic agents, and opioids. Conclusion: Although the goals of hospice care are the same whether a patient has lung cancer or a nonmalignant lung disease, because the characteristics of the respective diseases differ, end-oflife care practices and hospice approaches must be considered differently. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TERMINAL care
*LIFE support systems in critical care
*LUNG diseases
*RETROSPECTIVE studies
*TERTIARY care
*FISHER exact test
*ADVANCE directives (Medical care)
*MEDICAL records
*HOSPITAL care
*AUTONOMY (Psychology)
*DESCRIPTIVE statistics
*CHI-squared test
*PHYSICIANS
*ELECTRONIC health records
*DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 27653072
- Volume :
- 26
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of Hospice & Palliative Care
- Publication Type :
- Academic Journal
- Accession number :
- 162642955
- Full Text :
- https://doi.org/10.14475/jhpc.2023.26.1.7