Quality of Life of Palliative Care Patients in the Last Two Weeks of Life
Quality of life (QOL) is the main consideration in caring for advanced cancer patients, yet little is known about the QOL in the terminal phase. We profiled the QOL of 58 advanced cancer patients during their last 2 weeks of life using the McGill QOL questionnaire—Hong Kong version. The patients pro...
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| Veröffentlicht in: | Journal of pain and symptom management 2002-10, Vol.24 (4), p.388-397 |
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| container_title | Journal of pain and symptom management |
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| creator | Lo, Raymond S.K Woo, Jean Zhoc, Karen C.H BSocSc Li, Charlotte Y.P Yeo, Winnie Johnson, Philip Mak, Yvonne Lee, Joseph |
| description | Quality of life (QOL) is the main consideration in caring for advanced cancer patients, yet little is known about the QOL in the terminal phase. We profiled the QOL of 58 advanced cancer patients during their last 2 weeks of life using the McGill QOL questionnaire—Hong Kong version. The patients provided ratings of QOL an average of 5.6 (median 6) days pre-death. Palliative care services were successful in maintaining the total QOL score during the dying phase. The mean score was 7.0 of 10. Among the various domains, the physical and existential domains scored relatively poorly at 5.9 and 6 of 10, respectively. The worst physical symptom and meaning of life were the individual items with the poorest scores (4.8 and 5.4 of 10, respectively). Compared with admission, there was statistically significant improvement in the worst physical symptom (P
= 0.02) and eating item (P
= 0.002), but deterioration in physical well-being (P
= 0.03), meaning of existence (P
= 0.007), and satisfaction with oneself (P
= 0.04). In conclusion, QOL evaluation during the terminal phase identifies important aspects requiring improvement during the last two weeks of life. Physical and existential domains of dying cancer patients needed more attention. |
| doi_str_mv | 10.1016/S0885-3924(02)00504-3 |
| format | Article |
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= 0.02) and eating item (P
= 0.002), but deterioration in physical well-being (P
= 0.03), meaning of existence (P
= 0.007), and satisfaction with oneself (P
= 0.04). In conclusion, QOL evaluation during the terminal phase identifies important aspects requiring improvement during the last two weeks of life. Physical and existential domains of dying cancer patients needed more attention.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/S0885-3924(02)00504-3</identifier><identifier>PMID: 12505207</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>advanced cancer ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Clinical death. Palliative care. Organ gift and preservation ; end of life ; Hong Kong ; hospice ; Humans ; Medical sciences ; Palliative Care ; Quality of Life ; Terminal Care ; terminal illness</subject><ispartof>Journal of pain and symptom management, 2002-10, Vol.24 (4), p.388-397</ispartof><rights>2002 U.S. Cancer Pain Relief Committee</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-bcc8600b707e29defdf19ad8f73dcf01692b33ef0d2bf504825b287c53e01d103</citedby><cites>FETCH-LOGICAL-c495t-bcc8600b707e29defdf19ad8f73dcf01692b33ef0d2bf504825b287c53e01d103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0885-3924(02)00504-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14400983$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12505207$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lo, Raymond S.K</creatorcontrib><creatorcontrib>Woo, Jean</creatorcontrib><creatorcontrib>Zhoc, Karen C.H</creatorcontrib><creatorcontrib>BSocSc</creatorcontrib><creatorcontrib>Li, Charlotte Y.P</creatorcontrib><creatorcontrib>Yeo, Winnie</creatorcontrib><creatorcontrib>Johnson, Philip</creatorcontrib><creatorcontrib>Mak, Yvonne</creatorcontrib><creatorcontrib>Lee, Joseph</creatorcontrib><title>Quality of Life of Palliative Care Patients in the Last Two Weeks of Life</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>Quality of life (QOL) is the main consideration in caring for advanced cancer patients, yet little is known about the QOL in the terminal phase. We profiled the QOL of 58 advanced cancer patients during their last 2 weeks of life using the McGill QOL questionnaire—Hong Kong version. The patients provided ratings of QOL an average of 5.6 (median 6) days pre-death. Palliative care services were successful in maintaining the total QOL score during the dying phase. The mean score was 7.0 of 10. Among the various domains, the physical and existential domains scored relatively poorly at 5.9 and 6 of 10, respectively. The worst physical symptom and meaning of life were the individual items with the poorest scores (4.8 and 5.4 of 10, respectively). Compared with admission, there was statistically significant improvement in the worst physical symptom (P
= 0.02) and eating item (P
= 0.002), but deterioration in physical well-being (P
= 0.03), meaning of existence (P
= 0.007), and satisfaction with oneself (P
= 0.04). In conclusion, QOL evaluation during the terminal phase identifies important aspects requiring improvement during the last two weeks of life. Physical and existential domains of dying cancer patients needed more attention.</description><subject>advanced cancer</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>end of life</subject><subject>Hong Kong</subject><subject>hospice</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Palliative Care</subject><subject>Quality of Life</subject><subject>Terminal Care</subject><subject>terminal illness</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1vEzEQhi1ERUPgJ4D2QksPC2N7vfaeUBUBrRQJEEEcLa89FoZNNthOqv77Ok1obuU0Gul55-Mh5BWFdxRo-_47KCVq3rHmLbALAAFNzZ-QCVWS162g_CmZPCCn5HlKv6FQvOXPyCllAgQDOSHX3zZmCPm2Gn01Dx539asZhmBy2GI1MxFLnwOucqrCqsq_sJqblKvFzVj9RPyT_iVfkBNvhoQvD3VKfnz6uJhd1fMvn69nl_PaNp3IdW-tagF6CRJZ59A7TzvjlJfcWV8-61jPOXpwrPflKcVEz5S0giNQR4FPyfl-7jqOfzeYsl6GZHEYzArHTdKybaiUSjSFPHucZAqoLKqmROxBG8eUInq9jmFp4q2moHe29b1tvVOpgel725qX3OvDgk2_RHdMHfQW4M0BMMmawUezsiEduaYB6NRu0Ic9h0XcNmDUyRblFl2IaLN2Y_jPKXddX5mV</recordid><startdate>20021001</startdate><enddate>20021001</enddate><creator>Lo, Raymond S.K</creator><creator>Woo, Jean</creator><creator>Zhoc, Karen C.H</creator><creator>BSocSc</creator><creator>Li, Charlotte Y.P</creator><creator>Yeo, Winnie</creator><creator>Johnson, Philip</creator><creator>Mak, Yvonne</creator><creator>Lee, Joseph</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20021001</creationdate><title>Quality of Life of Palliative Care Patients in the Last Two Weeks of Life</title><author>Lo, Raymond S.K ; Woo, Jean ; Zhoc, Karen C.H ; BSocSc ; Li, Charlotte Y.P ; Yeo, Winnie ; Johnson, Philip ; Mak, Yvonne ; Lee, Joseph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-bcc8600b707e29defdf19ad8f73dcf01692b33ef0d2bf504825b287c53e01d103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>advanced cancer</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>end of life</topic><topic>Hong Kong</topic><topic>hospice</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Palliative Care</topic><topic>Quality of Life</topic><topic>Terminal Care</topic><topic>terminal illness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lo, Raymond S.K</creatorcontrib><creatorcontrib>Woo, Jean</creatorcontrib><creatorcontrib>Zhoc, Karen C.H</creatorcontrib><creatorcontrib>BSocSc</creatorcontrib><creatorcontrib>Li, Charlotte Y.P</creatorcontrib><creatorcontrib>Yeo, Winnie</creatorcontrib><creatorcontrib>Johnson, Philip</creatorcontrib><creatorcontrib>Mak, Yvonne</creatorcontrib><creatorcontrib>Lee, Joseph</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lo, Raymond S.K</au><au>Woo, Jean</au><au>Zhoc, Karen C.H</au><au>BSocSc</au><au>Li, Charlotte Y.P</au><au>Yeo, Winnie</au><au>Johnson, Philip</au><au>Mak, Yvonne</au><au>Lee, Joseph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of Life of Palliative Care Patients in the Last Two Weeks of Life</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>2002-10-01</date><risdate>2002</risdate><volume>24</volume><issue>4</issue><spage>388</spage><epage>397</epage><pages>388-397</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><abstract>Quality of life (QOL) is the main consideration in caring for advanced cancer patients, yet little is known about the QOL in the terminal phase. We profiled the QOL of 58 advanced cancer patients during their last 2 weeks of life using the McGill QOL questionnaire—Hong Kong version. The patients provided ratings of QOL an average of 5.6 (median 6) days pre-death. Palliative care services were successful in maintaining the total QOL score during the dying phase. The mean score was 7.0 of 10. Among the various domains, the physical and existential domains scored relatively poorly at 5.9 and 6 of 10, respectively. The worst physical symptom and meaning of life were the individual items with the poorest scores (4.8 and 5.4 of 10, respectively). Compared with admission, there was statistically significant improvement in the worst physical symptom (P
= 0.02) and eating item (P
= 0.002), but deterioration in physical well-being (P
= 0.03), meaning of existence (P
= 0.007), and satisfaction with oneself (P
= 0.04). In conclusion, QOL evaluation during the terminal phase identifies important aspects requiring improvement during the last two weeks of life. Physical and existential domains of dying cancer patients needed more attention.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12505207</pmid><doi>10.1016/S0885-3924(02)00504-3</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | advanced cancer Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Clinical death. Palliative care. Organ gift and preservation end of life Hong Kong hospice Humans Medical sciences Palliative Care Quality of Life Terminal Care terminal illness |
| title | Quality of Life of Palliative Care Patients in the Last Two Weeks of Life |
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