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Palliative day care
 — what do services do?
Author(s)I J Higginson, J Hearn, K Myers
Journal titlePalliative Medicine, vol 14, 2000
Pagespp 277-286
KeywordsTerminal care ; Day services ; Evaluation ; South East England.
AnnotationPalliative day care has expanded rapidly in recent years, but the types of care available vary. 40 of 43 day centres in the North and South Thames Regions responded to a questionnaire. A total of 2,268 day care places were available per week. Of 2,054 patients recorded by centres during a week of detailed monitoring, 90% had cancer; the remainder had AIDS or HIV, motor neurone disease or stroke. Most of the centres were managed by nurses. Most units had doctors, nurses, chaplains, managers, aromatherapists and hairdressers, but the provision of services of occupational therapists, social workers, chiropodists, dietitians and music and art therapists was more variable, as was whether these posts were paid. The most common activities were: reviews of patients' symptoms or needs; monitoring symptoms; bathing; wound care; physiotherapy; and hairdressing and aromatherapy. Centres describing themselves as more or mostly social were less likely to undertake daily assessment of new symptoms and wound care. The findings suggest the provision of core activities, but with variations in medical assessments, nurse-led clinics and therapy-related activities. (RH).
Accession NumberCPA-010105006 A
ClassmarkLV: NM: 4C: 82Z *

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