title: [An Experience of Providing Palliative Care in a Long-Term Care Facility: Let Good Death in Place Become a Feasible Reality].
abstract: As the number of elderly in long-term care facilities (LTCFs) continues to increase, the number of resident deaths in these facilities is expected to increase. Thus, LTCFs may become a main focus for end-of-life (EoL) care in the future. Therefore, promoting quality EoL care in LTCFs should be a priority issue. Currently, the four types of hospice services include hospice wards and hospice-share-services in hospitals and home hospice care and community hospice care in patient homes. However, to date, there has been limited discussion regarding promoting palliative care in LTCFs. The present article describes the LTCF nursing process that was used in caring for an EoL resident. Several interventions were used to assist this EoL resident to experience a dignified and peaceful death. These interventions included promoting the advance directive on hospice palliative care, linking community hospice palliative teams, ceating a warm environment, integrating the multidisciplinary team to alleviate the resident's distress symptoms, supporting the resident's psycho-social-spiritual needs, and accompanying family members through the process of anticipatory grief. This experience illustrates the feasibility of maintaining EoL residents in familiar LTCF environs in order to help them experience a good death in place.
authors.affiliation: Taipei City Zhishan Senior Home, Taiwan, ROC.
authors.forename: Ming-Mei
authors.initials: MM
authors.lastname: Chen
authors.affiliation: Taipei City Zhishan Senior Home, Taiwan, ROC.
authors.forename: Chun-Chen
authors.initials: CC
authors.lastname: Chou
authors.affiliation: Taipei City Zhishan Senior Home, Taiwan, ROC.
authors.forename: Kuei-Ying
authors.initials: KY
authors.lastname: Hsu
authors.affiliation: Section of Infectious Diseases, Taipei City Hospital Yang-Ming Branch, Taiwan, ROC.
authors.forename: Yung-Feng
authors.initials: YF
authors.lastname: Yen
authors.affiliation: Department of Nursing, Taipei City Hospital Yang-Ming Branch, Taiwan, ROC.
authors.forename: Ya-Ting
authors.initials: YT
authors.lastname: Yang
authors.affiliation: Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taiwan, ROC.
authors.forename: Hsiu-Li
authors.initials: HL
authors.lastname: Huang
mesh_terms: D000369:Aged, 80 and over; D006801:Humans; D008134:Long-Term Care; D008297:Male; D010166:Palliative Care; D013727:Terminal Care
keywords: advance directive; good death; long-term care facility; palliative care