How problematic are various aspects of quality of life in patients with cancer at the end of life?
OBJECTIVE
To identify aspects of quality of life (QOL) in patients receiving end-of-life care that are most and least problematic for patients.


METHODS
Descriptive using secondary analysis of data from an earlier QOL study.


METHODS
A large not-for-profit hospice that primarily provides home care in southwest Florida.


METHODS
231 homecare hospice patients with cancer.


METHODS
Item analysis of items on the Hospice Quality-of-Life Index.


METHODS
Psychophysiologic, functional, and social/spiritual well-being.


RESULTS
Patients had the most problems in the area of functional well-being and the least problems with social/spiritual well-being. Most common physical problems included constipation and dyspnea.


CONCLUSIONS
Patients with end-stage cancer are able to maintain their relationships with God and with family and friends even in the face of marked functional difficulties and troublesome physical symptoms.


CONCLUSIONS
A continued focus on the patient and family by the interdisciplinary healthcare team is warranted.
McMillan
S C
SC
College of Nursing, University of South Florida, Tampa, USA. smcmilla@com1.med.usf.edu
Weitzner
M
M
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing / Q000523:psychology*; D011788:Quality of Life; D012069:Religion and Psychology; D012944:Social Support; D013727:Terminal Care