Poster Presentation

Friday, July 13, 2007
9:30 AM - 10:15 AM

Friday, July 13, 2007
3:15 PM - 4:00 PM
This presentation is part of : Poster Presentation III
Effects of Application Hospice Shared-Care Model for Terminal Cancer Illness
Sue-Hsien Chen, MS, RN, Nursing Department, Chang-Gung Memorial Hospital, Keelug, Taiwan, R.O.C, Keelung, Taiwan, Chien-Hong Lai, Dr, Medical Department, Chang-Gung Memorial Hospital, Keelung, Taiwan, R.O.C, Keelung, Taiwan, and Ching-Yi Lei, RN, Nursing Department, Nursing Department, Keelung, Taiwan.
Learning Objective #1: underatand Hospice Shared-Care Model.
Learning Objective #2: underatand terminal cancer patientís influence with modifying a multi-cooperation care model of Hospice Shared-Care in a teaching hospital.

Malignant neoplasm has been the leading cause of death in Taiwan since 1982. The mortality rate is increasing each year, which makes it important to have appropriate care about the hospice care. Hospice Shared-Care is to break through the limitation of patients care. The Shared-Care brings the hospice care to acute care units for terminal cancer patients. That is, set up a palliative care team to provide consultation and service to terminal cancer patients in the non-hospice care ward. The purpose of this study is to explore terminal cancer patient’s influence with modifying a multi-cooperation care model of Hospice Shared-Care in a teaching hospital. A One Group Pretest and Posttest design was used in the study. A total of 18 terminal cancer patients and the family members agreed to participate in the Hospice-Shared Care. Following Hospice Shared-Care Model application, results showed that: (1) participanting patients had the pain problem (100%), fatigue (44.4%), sadness (66.7%), psychological and social of family member problems (27.8%), to treats looks after the policy-making puzzle (88.9%), and knowing hospice and palliative care (50.0%). (2)the Shared-Care Model did not only provid bodily, psychological, social, and the mind stratification to palliative care, but also to alleviate patients’ ill symptom and assist the patients and the family members to safely face the death. (3) the service satisfactions scored above 50 (scored between 0 and 100), which indicated the more service satisfactory on participanting family members. Results lead family members to conclude that implementing the Hospice Share-Care Model could effectively brave facing the death, also be willing to speak out their sadness. There are different palliative needs care among different culture, social, and economical structure. In addition, The Hospice Share-Care also has significant changes and meaningful improvements on terminal care.