title: A new hospice consulting system for terminal cancer patients in transferring to post-acute care options in Taiwan.
abstract: The terminal cancer patients increase needs for hospice care day by day. A new hospice consulting system has been developed in Taiwan to provide options for terminal cancer patients in choosing a suitable post-acute hospice care while a combined hospice care system is also given by the consulting team in the acute wards. Hereinafter is our report. From March 2005 to January 2006, 313 terminal cancer patients were analysed. These patients had signed consent forms for palliative treatment and had received consultations from the new hospice consulting system. Multivariate analysis showed that the home care patients had better performance status (P = 0.012), less shortness of breath (P = 0.006), less limbs swelling (P = 0.043), less flatulency (P = 0.000) and less constipation (P = 0.018). Among the 162 patients with regular follow-up, the symptoms/signs were significantly improved after intervention of consulting team in pain (P = 0.000), shortness of breath (P = 0.000), difficulty in sleeping (P = 0.002), nausea (P = 0.004), constipation (P = 0.008), changes in skin (P = 0.024) and adoption (P = 0.000). This new system had significant improvement in the terminal cancer patients' symptoms/signs control in acute wards and could contribute to the care quality of home care patients.
authors.affiliation: Division of Hematology and Oncology, Department of Medicine, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan. tjchiou@vghtpe.gov.tw
authors.forename: P M-H
authors.initials: PM
authors.lastname: Chang
authors.forename: Y-Y L
authors.initials: YY
authors.lastname: Liu
authors.forename: T-C
authors.initials: TC
authors.lastname: Chao
authors.forename: H-L
authors.initials: HL
authors.lastname: Lin
authors.forename: M-B
authors.initials: MB
authors.lastname: Chen
authors.forename: P-M
authors.initials: PM
authors.lastname: Chen
authors.forename: T-J
authors.initials: TJ
authors.lastname: Chiou
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003657:Decision Making; D003695:Delivery of Health Care / Q000379:methods*; D005260:Female; D006699:Home Care Services; D017051:Hospice Care / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology / Q000628:therapy*; D010166:Palliative Care / Q000379:methods* / Q000523:psychology; D017060:Patient Satisfaction; D012017:Referral and Consultation; D013624:Taiwan; D019452:Terminally Ill / Q000523:psychology