Culturally and linguistically diverse palliative care patients’ journeys at the end-of-life

Green, Anna ORCID: https://orcid.org/0000-0002-7541-3665 and Jerzmanowska, Natalie and Thristiawati, Safrina and Green, Marguerite and Lobb, Elizabeth A. (2019) Culturally and linguistically diverse palliative care patients’ journeys at the end-of-life. Palliative and Supportive Care, 17 (2). pp. 227-233. ISSN 1478-9515


Abstract

Objective. To understand the clinical and psychosocial journey of culturally and linguistically diverse (CALD) palliative care patients. Method. This study was conducted at a subacute hospital with a specialist palliative care unit and a community palliative care service in a metropolitan region of New South Wales, Australia. Medical records of 100 deceased patients from CALD backgrounds over a 12-month period from 2014 to 2015 were recorded on a data mining tool. The cohort had transitioned to either community or inpatient palliative care services with a life-limiting illness. We used descriptive statistical analyses to identify the patients' end-of-life journeys in the physical, psychological, spiritual, and social palliative care domains. Staff case notes were used to enrich the quantitative data. Result. The most common symptoms burdening the patients were decreased mobility (82%), pain (76%), and poor appetite (60%). The majority of patients (87%)were diagnosed with cancer. Language was a major barrier to the assessment and management of symptoms. The vast majority of patients were born in Europe and Asia. Twenty-nine percent of the patients preferred to use English. However, among patients who required an interpreter on admission, only 9% used professional interpreters. Family distress around patients' lack of food consumption was prominent, along with provider concern when this led to families 'force feeding' patients. Only 5% of files documented patients', and 21% of files documented families', cultural wishes or needs. Care of the body after death was only documented in 20% of files. Significance of results. The increasing cohort of older people from CALD backgrounds will have significant implications for the planning and delivery of palliative care services. There is an emerging need to address the physical, psychological, spiritual, and social palliative care domains in the end-of-life journeys of patients from CALD backgrounds to ensure the provision of quality care.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 15 Jul 2022 02:14
Last Modified: 17 Jul 2022 23:57
Uncontrolled Keywords: CALD; Culturally and linguistically diverse; palliative care
Fields of Research (2020): 42 HEALTH SCIENCES > 4203 Health services and systems > 420316 Palliative care
Identification Number or DOI: https://doi.org/10.1017/S1478951518000147
URI: http://eprints.usq.edu.au/id/eprint/49598

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