An Analysis of Documents Guiding Palliative Care in Five Canadian Provinces

Can J Aging. 2019 Sep;38(3):281-295. doi: 10.1017/S0714980818000594. Epub 2019 Jan 24.

Abstract

ABSTRACTThe purpose of this study was to analyse the consistency and extent of palliative content across high-level guiding documents related to the care of persons residing in Canadian long-term care homes. A systematic search was conducted examining documents at the national level and across five provinces (Alberta, Ontario, Saskatchewan, Manitoba, and Quebec). Twenty-five documents were selected based on inclusion criteria from 273 documents identified in the systematic search. The majority of these documents were created nationally (48%) or in Ontario (28%). Documents varied in palliative topics discussed, and long-term care was discussed minimally. A minimal number of palliative care guiding documents were found. Long-term care specific documents were absent, and all documents lacked consistency on palliative topics. It is imperative that palliative principles are present and consistent in high-level documents in order to improve the quality of life and care for long-term care residents across Canada.

Keywords: Canada; aging; analyse de documents; document analysis; end of life; fin de vie; long-term care; palliative care; soins de longue durée; soins palliatifs; vieillissement.

Publication types

  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Aged
  • Canada
  • Health Policy
  • Humans
  • Long-Term Care / organization & administration*
  • Palliative Care / organization & administration*
  • Patient Care Planning / organization & administration
  • Practice Guidelines as Topic
  • Quality of Life

Grants and funding