Table 2 |
|
|
Participant priorities for improving care |
|
|
Issue |
Frequency |
|
|
|
|
Alleviate Symptoms |
34 |
|
Pain |
9 |
|
Shortness of breath |
7 |
|
Thirst |
3 |
|
Other symptoms (gastrointestinal, cough, agitation oversedation, headache, feeling cold, dry skin, itching) |
15 |
|
Reduce Delays |
28 |
|
Delays in daily bedside care |
9 |
|
Delays in diagnosis or treatment |
8 |
|
Delay in transfer from emergency room to ward |
6 |
|
Delays in discharge to home |
5 |
|
Improve Daily Care |
29 |
|
Assist with activities of daily living |
9 |
|
Improve hospital environment |
6 |
|
Arrange help at home |
4 |
|
Personalize medical treatment |
3 |
|
Improve food |
3 |
|
Ensure staff are aware of special care needs |
2 |
|
Coordinate timing of diagnostic tests |
1 |
|
Obtain palliative care consultation |
1 |
|
Better Access to MDs/Medical information |
11 |
|
Improve Therapeutic Alliance |
10 |
|
Identify responsible physician |
3 |
|
Avoid unprofessional behaviors and comments |
3 |
|
Reduce changes in nursing staff |
2 |
|
Avoid repetitive questioning |
1 |
|
Apologize for medical error |
1 |
|
Address Emotions |
9 |
|
Fear of abandonment |
7 |
|
Loneliness |
2 |
|
Discuss Life Sustaining Treatments |
8 |
|
Further discussions |
5 |
|
Prior discussion should have been done differently |
3 |
|
Provide Personal Support |
3 |
|
Write letter so family can visit from outside country |
1 |
|
Wants to see chaplain |
1 |
|
Want someone to speak to my loved one in their native language about their medical condition |
1 |
|
|
|
|
Powis et al. BMC Palliative Care 2004 3:2 doi:10.1186/1472-684X-3-2 |
|