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Palliative Care Consultations in Haemato-oncology$
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Sara Booth, Eduardo Bruera, and Jenny Craig

Print publication date: 2003

Print ISBN-13: 9780198528081

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198528081.001.0001

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Home care for terminally ill haematology patients

Home care for terminally ill haematology patients

Chapter:
(p.219) Chapter 14 Home care for terminally ill haematology patients
Source:
Palliative Care Consultations in Haemato-oncology
Author(s):

Cathy Alban-Jones

Lorraine Moth

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198528081.003.0014

This chapter discusses the transition from palliative care in the hospital setting to terminal care in the home setting. After the decision to stop chemotherapy or aggressive treatment, families and patients often seek the comfort of their homes in the hopes of finding familiar surroundings. In instances such as this, rapid hospital discharge is a must; however, adequate support must be provided to avoid emergency situations. This chapter covers: how to determine if the patient and their families want a home-care setting; guidelines on creating good communication with the patients and the families, particularly on difficult issues; symptom management for patients with advanced haematological malignancies; how to plan a smooth and efficient hospital discharge; and how to determine risk factors associated with complicated bereavement.

Keywords:   hospital setting, terminal care, home setting, homes, hospital discharge, home-care setting, communication, symptom management

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