Is There a Need for Early Palliative Care in Patients With Life-Limiting Illnesses? Interview Study With Patients About Experienced Care Needs From Diagnosis Onward

Am J Hosp Palliat Care. 2016 Jun;33(5):489-97. doi: 10.1177/1049909115577352. Epub 2015 Apr 7.

Abstract

The early integration of specialist palliative care has been shown to benefit the quality of life of patients with advanced cancer. In order to explore whether other seriously ill people and people at even earlier phases would also benefit from early palliative care, we conducted 18 qualitative interviews with people having cancer, chronic obstructive lung disease, heart failure, or dementia at different phases of the illness trajectory about how they experienced care needs related to their disease from diagnosis onward. Respondents experienced needs within the different domains of palliative care at different stages of the illness and different illness types or duration of the illness. This study contributes to the understanding of primary care needs of patients for whom palliative care (not necessarily specialized palliative care) could be beneficial.

Keywords: cancer; chronic care; dementia; organ failure; palliative care; symptoms.

MeSH terms

  • Communication
  • Continuity of Patient Care / organization & administration
  • Dementia / psychology
  • Female
  • Heart Failure / psychology
  • Humans
  • Interpersonal Relations
  • Male
  • Neoplasms / psychology
  • Palliative Care / organization & administration*
  • Palliative Care / psychology*
  • Patient Education as Topic / organization & administration
  • Pulmonary Disease, Chronic Obstructive / psychology
  • Qualitative Research
  • Quality of Life
  • Terminal Care / organization & administration*
  • Terminal Care / psychology*
  • Time Factors
  • Time-to-Treatment*