Table 2 Summary of audit of quality factors at end of life care for residents that died in the RACF
From: Preferences and end of life care for residents of aged care facilities: a mixed methods study
NP insitu | Outreach Specialist Palliative Care | No formal Specialist Palliative Care | Total | p-value | |
|---|---|---|---|---|---|
Number of records reviewed | 93 | 83 | 58* | 234 | |
Average age at death | 87.8 | 87.6 | 86.4 | 87.4 | 0.6 |
Preferred place of EOLC stay RACF | 73/73 (100%) | 51/51 (100%) | 36/41 (87.8%) | 160/165 (97%) | <0.000 |
Advance Care Plan (%) | 43/93 (46.2%) | 58 /83 (69.9%) | 45/58 (77.6%) | 146/234 (62.4%) | <0.000 |
Substitute decision maker (%) | 86 (97%) | 80 (98%) | 58 (100%) | 224 (98%) | 0.133 |
During the last days of life: | |||||
Documentation of a discussion with the family regarding resident’s prognosis | 84 (91%) | 69 (88%) | 45 (83%) | 198 (88%) | 0.349 |
Of those that presented to ED in last 30 days of life, family was involved in requesting hospital transfer | 7 (58.3%) | 3 (16.7%) | 2 (11.8%) | 12 (25.5%) | 0.349 |
Documented delay in symptom management | 26/73 (36%) | 21/81 (26%) | 14/58 (24%) | 61/212 (29%) | 0.273 |
Length of delay < 12 h | 17 | 3 | 2 | 22 | 0.006 |
12 to 24 h | 5 | 5 | 1 | 11 | |
Days | 0 | 8 | 6 | 14 | |
Delay unknown | 5 | 5 | 5 | 15 | |