What is most important for you to achieve?: An analysis of patient responses when receiving palliative care consultation
ABSTRACT Hospitalized patients with a wide range of serious, but not necessarily terminal illnesses are now receiving palliative care consultations. The purpose of this report is to describe what palliative care patients say is "most important to achieve" at the time of initial consultation.
We conducted a retrospective descriptive content analysis of patient responses to the question "What is most important for you to achieve?" recorded at the time of initial inpatient palliative care consultation. Two hundred fifteen patient records had documented first-person patient responses recorded. These responses were independently reviewed and categorized in a four-phase iterative process.
Responses were divided into four major categories: (1) Improving quality and meaning ("I want to be able to sit on my front porch and watch the farm go by.") (52%); (2) Achieving relief or comfort ("Can you get rid of my pain?") (34%); (3) Altering the trajectory of illness ("If there is a treatment that can make me well, I want it.") (22%); and (4) Preparing for dying ("I am not afraid of dying. I just don't want to suffer.") (11%). Five percent of responses were unable to be reliably categorized ("You ask hard questions."). Some respondents gave more than one response, so the total is greater than 100%.
Patients receiving palliative care consultation give a wide range of responses to the question "What is most important for you to achieve?" Such patient-centered inquiry about priorities deserves more systematic study in the future if patient-specific goals are to be a marker of high-quality palliative care.
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ABSTRACT: After accessing the PDF file, please: 1) Carefully proofread the entire article, including any tables, equations, figure legends and references. 2) Ensure that your affiliations and address are correct and complete. 3) Check that any Greek letter, especially "mu", has translated correctly; 4) Verify all scientific notations, drug dosages, and names and locations of manufacturers; 5) Be sure permission has been procured for any reprinted material. 6) Answer all author queries completely. They are listed on the last page of the proof; You may choose to list the corrections (including the replies to any queries) in an e-mail and return to me using the "reply" button. Using this option, please refer to the line numbers on the proof. If, for any reason, this is not possible, mark the corrections and any other comments (including replies to questions) on a printout of the PDF file and fax this to Brian Arnold (215-239-3388) or mail to the address given below. Do not attempt to edit the PDF file (including adding post-it type notes).EXPLORE The Journal of Science and Healing 01/2007; · 0.94 Impact Factor