1. A Comparison Between End-of-Life Home Care Clients With Cancer and Heart Failure in Ontario.
- Author
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Fernandes, Samantha and Guthrie, Dawn M.
- Subjects
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PALLIATIVE treatment , *HEART failure , *CANCER patients , *CHI-squared test , *COMPARATIVE studies , *CARDIAC patients , *HOME care services , *RESEARCH funding , *STATISTICS , *T-test (Statistics) , *DISABILITIES , *SECONDARY analysis , *BURDEN of care , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics , *PSYCHOLOGY , *PROGNOSIS ,TUMOR prognosis - Abstract
Individuals with heart failure experience complex symptoms and have a poor prognosis, comparable to those with cancer. However, people with heart failure are less likely to be recognized as needing palliative care. We compared seriously ill home care clients with cancer versus those with heart failure to explore differences between them using existing data from the Resident Assessment Instrument for Home Care (RAI-HC). The sample included 1,475 older adults (65+) in Ontario who had a prognosis of less than 6 months or severe health instability. Clients with heart failure were significantly older (p< .0001) and experienced significantly higher rates of impairment in activities of daily living (p= .005), cognitive impairment (p< .0001), and severe health instability (p< .0001), but were significantly less likely to have a prognosis of less than 6 months (p< .0001). Home care clients with heart failure have needs similar to those with cancer yet are typically not identified as having a terminal prognosis. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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