End-of-life care in a rehabilitation centre for older people in Australia
Article first published online: 31 JAN 2013
© 2013 The Authors. Australasian Journal on Ageing © 2013 ACOTA
Australasian Journal on Ageing
Volume 32, Issue 3, pages 184–187, September 2013
How to Cite
Tan, H., Digby, R., Bloomer, M., Wang, Y. and O'Connor, M. (2013), End-of-life care in a rehabilitation centre for older people in Australia. Australasian Journal on Ageing, 32: 184–187. doi: 10.1111/j.1741-6612.2012.00654.x
- Issue published online: 13 SEP 2013
- Article first published online: 31 JAN 2013
- end-of-life care;
- palliative care;
- subacute care
To investigate processes at the end of life for patients who died in a subacute evaluation and management facility for older people.
A retrospective chart audit for patients (n = 55) who died in the previous 2 years was undertaken, recording a number of significant variables.
Despite diagnosis of comorbid medical conditions, most participants were admitted for improved functioning or assessment for alternative accommodation. Consistent with this focus, the key contact person was most often an allied health team member. Not For Resuscitation order and/or power of attorney documents on admission were uncommon (<30%) as were referrals to palliative care specialist staff (13%), although an end-of-life discussion was recorded (90%) and often included as a new goal of care (71%).
Factors likely to improve end-of-life care include advance care planning, earlier recognition of short prognosis and staff education.