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Evaluatie van units voor kortdurende terminale zorg bij verpleeghuizen

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Tijdschrift voor Gerontologie en Geriatrie

Evaluation of units for short-term terminal care in nursing homes

The Units for short-term terminal care in 10 nursing homes were evaluated in terms of (a) meeting minimum care requirements for organisation, personnel and expertise and (b) changes in outcomes in patients. Interview with staff members show that 69% of the care requirements were met. Requirements for expertise development were better met (77%), and requirements for personnel and team were met less well (58%). The studies on patient outcomes show that the patients’ functional status decreased as death approached, but symptoms did not decrease with similar rates. In addition, quality of life remained stable. We conclude that the minimum care requirements should be revised, taken into account the way the requirements are used in daily practise. The data seem to point at good quality of care. We advise a repetition of the last evaluation in 2003.

Samenvatting

Units voor kortdurende terminale zorg bij 10 verpleeghuizen zijn geëvalueerd in termen van (a) het al dan niet halen van minimumeisen op gebied van inrichting en organisatie, personeel en team, en deskundigheid en (b) veranderingen in uitkomsten bij patiënten. Uit interviews met unitmedewerkers blijkt dat 69% van de minimumeisen is gehaald. De eisen over personeel en team zijn het minst goed gehaald (58%), en de eisen over deskundigheid het best (77%). Wat betreft onderzoek bij patiënten bleek dat functionele status slechter werd bij naderende dood, maar dat belastende symptomen niet in dezelfde mate verslechterden. Ook kwaliteit van leven bleef stabiel bij de patiënten. Gelet op de toepassing in de praktijk, kan revisie van de minimumeisen wenselijk zijn. Verder lijken de gegevens te duiden op een goede kwaliteit van zorg. Geadviseerd wordt om de evaluatie van de units, die voor het laatst in 2003 plaatsvond, binnenkort te herhalen.

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    M. A. Echteld

Authors
  1. M. A. Echteld
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  2. M. W. Ribbe
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  3. L. Deliens
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Correspondence to M. A. Echteld.

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Correspondentie: Michael A. Echteld VUmc EMGO-Instituut Afdeling Sociale Geneeskunde, Van der Boechorststraat 7 1081 BT Amsterdam T: 020-4449699

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Echteld, M.A., Ribbe, M.W. & Deliens, L. Evaluatie van units voor kortdurende terminale zorg bij verpleeghuizen. GEEG 39, 245–255 (2008). https://doi.org/10.1007/BF03078163

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