Do patients and carers find separate palliative care clinic consultations acceptable? A pilot study

Int J Palliat Nurs. 2014 Jun;20(6):301-5. doi: 10.12968/ijpn.2014.20.6.301.

Abstract

Background: As differing patient and carer information needs have been reported, and in light of changing health-system priorities and issues identified in a self-assessment study, a specialist palliative care service established an interdisciplinary psychosocial assessment clinic to separately assess patient and carer needs.

Aim: To determine the acceptability of the separate assessment to patients and carers.

Method: Patients with a high functional score and who were deemed well enough to manage an appointment were invited to attend the clinic. Consent to follow-up was obtained. Patient and carer satisfaction surveys were developed based on existing tools. Questionnaires were posted out with a pre-paid reply envelope to patients and carers. Data from completed surveys was entered into a data management system and frequency analysis completed. A secondary analysis of the comments was undertaken.

Findings: The clinic was attended by 41 patients and 37 carers between September 2011 and the end of February 2012. There was a 46% response rate, with 24 questionnaires returned from both the patient and their carer, 6 from patients only, and 6 from carers only (2 of whom were bereaved). The opportunity for privacy to discuss their own fears and concerns related to the illness was appreciated by 94% of the patients and 83% of the carers.

Conclusion: This initial pilot data shows patient and carer satisfaction with this clinic model. Further qualitative data would provide more information on the patient and carer experiences of the clinic.

Keywords: Carer; Communication; Outpatient clinic; Palliative care; Psychosocial.

MeSH terms

  • Caregivers*
  • Feedback
  • Humans
  • Palliative Care*
  • Patients*
  • Pilot Projects
  • South Australia