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A descriptive study on gaps and potential barriers palliative care service utilization among internist in FEU-NRMF medical center / [Principal investigator]: Ines, Maria Lourdes J.

Contributor(s): Language: English Publication details: Fairview, Quezon City: Department of Medicine, FEU-NRMF, 2023Description: (in folder) with flash drive (soft copy)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
LOC classification:
  • MED 2023 0003
Online resources: Summary: ABSTRACT: Introduction: The current increase in improved medical care has led to an aging population with rise of non-communicable diseases and the need for palliative care has been increasing as well. However, it is poorly accessible and some patient and their families, an unknown field of medicine. Palliative referrals are most often made too late and thus palliative services are underutilized hence the need to improve palliative education and training. General Objective: To determine the gaps and barriers of palliative care services among internists through the use of End-Of-Life Professional Caregiver Survey (EPCS) questionnaire Methodology: This was a cross-sectional research study. The physicians were approached individually for consent and questionnaires were given for them to answer. A validated survey was used unaltered from End- of life Professional Caregiver Survey. The survey questionnaire included the participant's demographic data and were disseminated and answered. Results: Most respondents were in the 41 to 60 years old (35; 64.8%), females (28; 51.9%), and from Section of Cardiology (10; 18.5%), with 0-15 years of experience (33; 61.1%). The subscale Patient and Family Centered Communications had a mean score of 39.03±8.56, Cultural and Ethical Values had a mean score of 23.0±6.90, and Effective Care Delivery had a mean score of 19.01l6.98. The total EPCS mean score was 81.04122.44. Conclusions: There are several perceived gaps and barriers that were noted in the actual research study. In terms of patients and family centered communications, problems such as addressing patient symptoms and fears of patients and family members of getting addicted to pain medications are some of the concerns noted. in terms of cultural and ethical values, gaps and barriers were uneasiness in providing counseling for families and staff and the little knowledge about cultural factors influencing end of life care. Gaps and barriers identified in the area of effective care delivery were the non-provision of resources to support staff who were assigned in caring patients who were dying and the lack of confidence to address requests for assisted suicide.
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Research Far Eastern University - Nicanor Reyes Medical Foundation MED 2023 0003 (Browse shelf(Opens below)) Available R000753
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MED 2022 0006 Incidence of confirmed COVID-19 following COVID-19 vaccination among patients in a tertiary hospital, Philippines : a single-center cohort study / MED 2022 0007 Psychological impact of COVID-19 pandemic on colon and breast cancer patients in a tertiary hospital at Quezon City, Philippines / MED 2023 0001 Knowledge, attitude, and practices of pediatric consultants in telemedicine in tertiary hospitals / [author]: Gregorio, Judith Marie D. [co-author]: Agrava, Ma. Amparo C. MED 2023 0003 A descriptive study on gaps and potential barriers palliative care service utilization among internist in FEU-NRMF medical center / [Principal investigator]: Ines, Maria Lourdes J. MED 2023 0004 Comparing chest pain scoring systems in predicting occurrence of major adverse cardiac events (MACE) among chest pain patients at the emergency department of a private tertiary hospital./ [Principal Investigator]: Gerona, Mark Ledge G. MED 2023 0005 Factors affecting the outcome of covid 19 patients with hypertension admitted in FEU-NRMF medical center from JANUARY to DECEMBER, 2021. / [investigator]: Calda, Daniele Alek L. MED 2023 0006 A descriptive study on the incidence of acute kidney injury among covid-19 patients admitted at FEU-NRMF medical center from JANUARY to DECEMBER 2021. / [principal investigator]: Caritativo, Mico Raphael

Includes bibliographical refernces.

ABSTRACT: Introduction: The current increase in improved medical care has led to an aging population with rise of non-communicable diseases and the need for palliative care has been increasing as well. However, it is poorly accessible and some patient and their families, an unknown field of medicine. Palliative referrals are most often made too late and thus palliative services are underutilized hence the need to improve palliative education and training.
General Objective: To determine the gaps and barriers of palliative care services among internists through the use of End-Of-Life Professional Caregiver Survey (EPCS) questionnaire
Methodology: This was a cross-sectional research study. The physicians were approached individually for consent and questionnaires were given for them to answer. A validated survey was used unaltered from End- of life Professional Caregiver Survey. The survey questionnaire included the participant's demographic data and were disseminated and
answered.
Results: Most respondents were in the 41 to 60 years old (35; 64.8%), females (28; 51.9%), and from Section of Cardiology (10; 18.5%), with 0-15 years of experience (33; 61.1%). The subscale Patient and Family Centered Communications had a mean score of 39.03±8.56, Cultural and Ethical Values had a mean score of 23.0±6.90, and Effective Care Delivery had a mean score of 19.01l6.98. The total EPCS mean score was 81.04122.44.
Conclusions: There are several perceived gaps and barriers that were noted in the actual research study. In terms of patients and family centered communications, problems such as addressing patient symptoms and fears of patients and family members of getting addicted to pain medications are some of the concerns noted. in terms of cultural and ethical values, gaps and barriers were uneasiness in providing counseling for families and staff and the little knowledge about cultural factors influencing end of life care. Gaps and barriers identified in the area of effective care delivery were the non-provision of resources to support
staff who were assigned in caring patients who were dying and the lack of confidence to address requests for assisted suicide.

Department of Medicine Research - Department of Medicine

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