A comparison between end-of-life home care clients with cancer and heart failure in Ontario

TitleA comparison between end-of-life home care clients with cancer and heart failure in Ontario
Publication TypeJournal Article
Year of Publication2015
AuthorsFernandes S., Guthrie D.M
JournalHome Health Care Serv Q
Volume34
Issue1
Pagination14-29
ISBN Number0162-1424
Accession Number25517422
Keywords*Palliative Care, *Terminal Care, Aged, Aged, 80 and over, Cancer, end-of-life care, Female, heart failure, Heart Failure/epidemiology/*nursing, Humans, Male, Neoplasms/epidemiology/*nursing, Ontario, palliative care, Patient Acuity, Resident Assessment Instrument for Home Care
Abstract

Individuals with heart failure experience complex symptoms and have a poor prognosis, comparable to those with cancer. However, people with heart failure are less likely to be recognized as needing palliative care. We compared seriously ill home care clients with cancer versus those with heart failure to explore differences between them using existing data from the Resident Assessment Instrument for Home Care (RAI-HC). The sample included 1,475 older adults (65+) in Ontario who had a prognosis of less than 6 months or severe health instability. Clients with heart failure were significantly older (p < .0001) and experienced significantly higher rates of impairment in activities of daily living (p = .005), cognitive impairment (p < .0001), and severe health instability (p < .0001), but were significantly less likely to have a prognosis of less than 6 months (p < .0001). Home care clients with heart failure have needs similar to those with cancer yet are typically not identified as having a terminal prognosis.

URLhttps://www.ncbi.nlm.nih.gov/pubmed/25517422
DOI10.1080/01621424.2014.995257
Short TitleHome Health Care Serv QHome Health Care Serv Q
Alternate JournalHome health care services quarterly