Administrators' perspectives on end-of-life care for cancer patients in Japanese long-term care facilities

Hiroki Fukahori, Mitsunori Miyashita, Tatsuya Morita, Takayuki Ichikawa, Nobuya Akizuki, Miki Akiyama, Yutaka Shirahige, Kenji Eguchi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The purpose of this study was to clarify administrators' perspectives on availability of recommended strategies for end-of-life (EOL) care for cancer patients at long-term care (LTC) facilities in Japan. A cross-sectional survey was conducted with administrators at Japanese LTC facilities. Participants were surveyed about their facilities, reasons for hospitalization of cancer patients, and their perspectives on availability of and strategies for EOL care. The 97 responses were divided into medical facility (n∈=∈24) and non-medical facility (n∈=∈73) groups according to physician availability. The most frequent reasons for hospitalization were a sudden change in patient's condition (49.4%), lack of around-the-clock care (43.0%), and inability to palliate symptoms (41.0%). About 50% of administrators believed their facilities could provide EOL care if supported by palliative care experts. There was no significant difference between facility types (P∈=∈0.635). Most administrators (81.2%) regarded unstable cancer patients as difficult to care for. However, many (68.4%) regarded opioids given orally as easy to administer, but regarded continuous subcutaneous infusion/central venous nutrition as difficult. Almost all administrators believed the most useful strategy was transferring patients to hospitals at the request of patients or family members (96.9%), followed by consultation with palliative care experts (88.5%). Although LTC facilities in Japan currently do not provide adequate EOL care for cancer patients, improvement might be possible with support by palliative care teams. Appropriate models are necessary for achieving a good death for cancer patients. Interventions based on these models are necessary for EOL care for cancer patients in LTC facilities.

Original languageEnglish
Pages (from-to)1247-1254
Number of pages8
JournalSupportive Care in Cancer
Volume17
Issue number10
DOIs
Publication statusPublished - 2009 Oct

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Terminal Care
Long-Term Care
Administrative Personnel
Neoplasms
Palliative Care
Japan
Hospitalization
Subcutaneous Infusions
Opioid Analgesics
Referral and Consultation
Cross-Sectional Studies
Physicians

Keywords

  • Administrators
  • Cancer care
  • Long-term care facilities
  • Palliative care

ASJC Scopus subject areas

  • Oncology

Cite this

Administrators' perspectives on end-of-life care for cancer patients in Japanese long-term care facilities. / Fukahori, Hiroki; Miyashita, Mitsunori; Morita, Tatsuya; Ichikawa, Takayuki; Akizuki, Nobuya; Akiyama, Miki; Shirahige, Yutaka; Eguchi, Kenji.

In: Supportive Care in Cancer, Vol. 17, No. 10, 10.2009, p. 1247-1254.

Research output: Contribution to journalArticle

Fukahori, Hiroki ; Miyashita, Mitsunori ; Morita, Tatsuya ; Ichikawa, Takayuki ; Akizuki, Nobuya ; Akiyama, Miki ; Shirahige, Yutaka ; Eguchi, Kenji. / Administrators' perspectives on end-of-life care for cancer patients in Japanese long-term care facilities. In: Supportive Care in Cancer. 2009 ; Vol. 17, No. 10. pp. 1247-1254.
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