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February 28-March 01, 2019 | Paris, France
Palliative Care, Obstetrics and Gynecology
Stroke and Clinical Trials
International Conference on
Joint Event on
International Conference on
&
Journal of Research and Reports in Gynecology and Obstetrics | Volume: 3
Quality of the end of life care for adult inpatient with advanced cancer in Saudi Arabia
Abdullah Algarni
National Guard Hospital, Saudi Arabia
Background:
End-of-life care is one of the principle
components of cancer care. Measuring quality of life is
an important issue for monitoring clinical practice and
improving outcome. This study is aiming to assess the quality
of care provided by oncology department to adult in patients
with advanced cancer in the last month of their life.
Methodology:
Retrospective chart review of adult cancer
inpatients for 6 months. Review of data include cancer
patients in the last month of their lives. The primary outcome
to assess the quality of end of life care provided by oncology
department to inpatient with advanced cancer using The
Cancer Quality-ASSIST.12 criteria were selected in this study
to assess different aspects of care at the end of life.
Results
: Total of 180 patient were included. 90% of patients
were screened for pain. 98.7% of patients with dyspnea
offered symptomatic management. 47% of patients were
assessed for fatigue. 70% were assessed for nausea and
vomiting. 95.6% of patients receiving chemotherapy were
informed about the risks and benefits of treatment. 78.3% of
patients with expected death been referred for palliative care
prior to death. 86.7% of the patients were properly assessed
for the need of PEG tube feeding. 71.1% (32/45) of patients
treated with chemo, they received chemotherapy during the
last two weeks. 36.7% (66) patients visited ER once, 7.2%
(13) twice. 26.1% (47) of patients were admitted to ICU once
and one patient admitted twice. Mean time from palliative
care referral to death was 78 days with median of 18 days.
Social Support documented in 58.3% (105) of patients while
Spiritual care documented in one patient only.
Discussion:
Overall adherence to standards of physical care
was good, however, more patients still receiving chemo in
the last two weeks which is a poor-quality indicator. More
attention is needed to psychosocial and spiritual care in
order to improve the quality of care.
Conclusion:
This set of quality indicators can evaluate
the quality of supportive and end-of-life care provided to
inpatients dying with advanced cancer and identify aspects
of care that need improvement.
Speaker Biography
Abdullah Algarni is a Consultant and section head of Palliativemedicine for the department
of Oncology at King Abdulaziz Medical City. He was an Assistant professor atKing Saud bin
Abdulaziz University for Health Sciences at Riyadh, Saudi Arabia.
e:
algarni.abdullah@gmail.comAbdullah Algarni
, Res Rep Gynaecol Obstet, Volume 3
DOI: 10.4066/2591-7366-C1-003