Researching "Good Death" in a Hong Kong Palliative Care Program: A Clinical Data-Mining Study.
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| Title: | Researching "Good Death" in a Hong Kong Palliative Care Program: A Clinical Data-Mining Study. |
|---|---|
| Authors: | Chan, Wallace C. H.1, Epstein, I.2 |
| Source: | Omega: Journal of Death & Dying. 2011/2012, Vol. 64 Issue 3, p203-222. 20p. 3 Charts. |
| Subject Terms: | *Quality of life, *Family relations, *Retrospective studies, Death, Family medicine, Nursing assessment, Nursing specialties, Palliative treatment, Probability theory, Psychology of the terminally ill, U-statistics, Data mining, Hospice nurses, Descriptive statistics |
| Geographic Terms: | Hong Kong (China) |
| Abstract: | This study operationalizes and assesses the percentage of "good deaths" achieved among Chinese cancer patients in a palliative care program, the profile of these patients, the relationship between patients with a good death and psychosocial factors, and the differences in background factors, and physical and psychosocial conditions between patients who experienced a good death and those who did not. Clinical data mining was the research method used. Records of deceased cancer patients between 2003 and 2005 in a palliative care unit were the sole data source. Good death was operationally defined as the patient's record indicating no pain (physical) or anxiety (psychological), and having open and honest communication with family (social) in the final assessment by the Support Team Assessment Schedule (STAS) just before death. Using these criteria, about one-fifth of patients (21.5%; 137 out of 638) experienced a good death. Those with a good death were significantly older and were in palliative care longer. Their records also indicated lower levels of constipation, insomnia, oral discomfort, and family anxiety at their first and at their final STAS assessments. Good death was positively associated with recorded indicators of fullness in life, caregivers' acceptance and support, and negatively with reported feelings of upset about changes in the course of their illness. The results heighten awareness among social workers and other healthcare professionals about the value of good death in patients in palliative care. This empirically-based awareness can foster professionals' ability to set intervention objectives to help patients in palliative care achieve this universally accepted goal. [ABSTRACT FROM AUTHOR] |
| Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 70230951 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Researching "Good Death" in a Hong Kong Palliative Care Program: A Clinical Data-Mining Study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Chan%2C+Wallace+C%2E+H%2E%22">Chan, Wallace C. H.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Epstein%2C+I%2E%22">Epstein, I.</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Omega%3A+Journal+of+Death+%26+Dying%22">Omega: Journal of Death & Dying</searchLink>. 2011/2012, Vol. 64 Issue 3, p203-222. 20p. 3 Charts. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br />*<searchLink fieldCode="DE" term="%22Family+relations%22">Family relations</searchLink><br />*<searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Death%22">Death</searchLink><br /><searchLink fieldCode="DE" term="%22Family+medicine%22">Family medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+assessment%22">Nursing assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+specialties%22">Nursing specialties</searchLink><br /><searchLink fieldCode="DE" term="%22Palliative+treatment%22">Palliative treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Probability+theory%22">Probability theory</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+the+terminally+ill%22">Psychology of the terminally ill</searchLink><br /><searchLink fieldCode="DE" term="%22U-statistics%22">U-statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Data+mining%22">Data mining</searchLink><br /><searchLink fieldCode="DE" term="%22Hospice+nurses%22">Hospice nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Hong+Kong+%28China%29%22">Hong Kong (China)</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: This study operationalizes and assesses the percentage of "good deaths" achieved among Chinese cancer patients in a palliative care program, the profile of these patients, the relationship between patients with a good death and psychosocial factors, and the differences in background factors, and physical and psychosocial conditions between patients who experienced a good death and those who did not. Clinical data mining was the research method used. Records of deceased cancer patients between 2003 and 2005 in a palliative care unit were the sole data source. Good death was operationally defined as the patient's record indicating no pain (physical) or anxiety (psychological), and having open and honest communication with family (social) in the final assessment by the Support Team Assessment Schedule (STAS) just before death. Using these criteria, about one-fifth of patients (21.5%; 137 out of 638) experienced a good death. Those with a good death were significantly older and were in palliative care longer. Their records also indicated lower levels of constipation, insomnia, oral discomfort, and family anxiety at their first and at their final STAS assessments. Good death was positively associated with recorded indicators of fullness in life, caregivers' acceptance and support, and negatively with reported feelings of upset about changes in the course of their illness. The results heighten awareness among social workers and other healthcare professionals about the value of good death in patients in palliative care. This empirically-based awareness can foster professionals' ability to set intervention objectives to help patients in palliative care achieve this universally accepted goal. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 20 StartPage: 203 Subjects: – SubjectFull: Quality of life Type: general – SubjectFull: Family relations Type: general – SubjectFull: Retrospective studies Type: general – SubjectFull: Death Type: general – SubjectFull: Family medicine Type: general – SubjectFull: Nursing assessment Type: general – SubjectFull: Nursing specialties Type: general – SubjectFull: Palliative treatment Type: general – SubjectFull: Probability theory Type: general – SubjectFull: Psychology of the terminally ill Type: general – SubjectFull: U-statistics Type: general – SubjectFull: Data mining Type: general – SubjectFull: Hospice nurses Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Hong Kong (China) Type: general Titles: – TitleFull: Researching "Good Death" in a Hong Kong Palliative Care Program: A Clinical Data-Mining Study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Chan, Wallace C. H. – PersonEntity: Name: NameFull: Epstein, I. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: 2011/2012 Type: published Y: 2011 Identifiers: – Type: issn-print Value: 00302228 Numbering: – Type: volume Value: 64 – Type: issue Value: 3 Titles: – TitleFull: Omega: Journal of Death & Dying Type: main |
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