Palliative care need among inpatients in acute general hospitals in Nepal: a point prevalence survey

Authors

  • Paras Acharya Patan Academy of Health Sciences, Lalitpur, Nepal
  • Bimal Pandey Patan Academy of Health Sciences, Lalitpur, Nepal
  • Yagya Pokhrel Patan Academy of Health Sciences, Lalitpur, Nepal
  • Kedar Baral Patan Academy of Health Sciences, Lalitpur, Nepal
  • Dan Munday National Academy of Health Sciences, Kathmandu, Nepal
  • Rajesh Gongal Patan Academy of Health Sciences, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/jpahs.v4i1.24667

Keywords:

acute hospital, need assessment, palliative care, SPICT tool

Abstract

Introductions: Developing palliative care services in acute hospitals is important to address the need of patients dying from malignant and non-malignant diseases. This study is carried out to assess the need of palliative care in Patan Hospital to inform the planning process for starting palliative care services.

Methods: A cross-sectional, point prevalence survey of in-patient beds occupied in Patan Hospital was carried out using Supportive and Palliative Care Indicators Tool. For patients who met the criteria, symptom burden was noted.

Results: Of the 116 patients admitted on the day of surveillance, 30% met the criteria for palliative care need; 60% were aged 60 or above. The most common conditions requiring palliative care need was lung disease (46%) followed by cardio vascular (23%) and neurological diseases (23%). The most common symptoms patients were suffering from were fatigue (60%) followed by shortness of breath (51%), inability to move (35%), abdominal distension (31%), anorexia (31%) and pain (25%).

Conclusions: Almost one third of patients admitted to Patan Hospital need palliative care with majority of them being above sixty years. This highlights the need to develop palliative care services in the hospital to address the need of such patients and families to improve the quality of life in the last years of life.

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Author Biographies

Paras Acharya, Patan Academy of Health Sciences, Lalitpur, Nepal

Associate Professor, Department of Internal Medicine

Bimal Pandey, Patan Academy of Health Sciences, Lalitpur, Nepal

Lecturer, Department of Internal Medicine

Yagya Pokhrel, Patan Academy of Health Sciences, Lalitpur, Nepal

Lecturer, Department of General Practice and Emergency

Kedar Baral, Patan Academy of Health Sciences, Lalitpur, Nepal

Professor, Department of Community Health Sciences

Dan Munday, National Academy of Health Sciences, Kathmandu, Nepal

Professor, Palliative Medicine

Rajesh Gongal, Patan Academy of Health Sciences, Lalitpur, Nepal

Professor, Department of Surgery

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Published

2017-06-30

How to Cite

Acharya, P., Pandey, B., Pokhrel, Y., Baral, K., Munday, D., & Gongal, R. (2017). Palliative care need among inpatients in acute general hospitals in Nepal: a point prevalence survey. Journal of Patan Academy of Health Sciences, 4(1), 42–46. https://doi.org/10.3126/jpahs.v4i1.24667

Issue

Section

General Section: Original Articles