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(PDF) Dying at home: Experience of the Verdun local community service centre
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property="og:description" content="Objective To demonstrate that it is possible for a team of palliative care nurses in an urban centre to care for more than 50% of their terminally ill patients at home until they die, and that medical care delivered in the home is a determining" /> <meta property="article:author" content="https://independent.academia.edu/RobertMarchand" /> <meta name="description" content="Objective To demonstrate that it is possible for a team of palliative care nurses in an urban centre to care for more than 50% of their terminally ill patients at home until they die, and that medical care delivered in the home is a determining" /> <title>(PDF) Dying at home: Experience of the Verdun local community service centre</title> <link rel="canonical" href="https://www.academia.edu/58236327/Dying_at_home_Experience_of_the_Verdun_local_community_service_centre" /> <script async src="https://www.googletagmanager.com/gtag/js?id=G-5VKX33P2DS"></script> <script> window.dataLayer 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{"work":{"id":58236327,"created_at":"2021-10-15T15:58:24.560-07:00","from_world_paper_id":179531019,"updated_at":"2024-11-23T13:53:43.815-08:00","_data":{"grobid_abstract":"Objective To demonstrate that it is possible for a team of palliative care nurses in an urban centre to care for more than 50% of their terminally ill patients at home until they die, and that medical care delivered in the home is a determining factor in death at home versus death in a hospital. Design Analysis of place of death of terminally ill patients who died in 2012 and 2013 (N = 212) and who had been cared for by palliative care nurses, by type of medical care. Setting The centre local de services communautaires (CLSC) in Verdun, Que, an urban neighbourhood in southwest Montreal. Participants A total of 212 terminally ill patients. Main outcome measures Rate of deaths at home. Results Of the 212 patients cared for at home by palliative care nurses, 56.6% died at home; 62.6% received medical home care from CLSC physicians, compared with 5.0% who did not receive medical home care from any physician. Conclusion Combined with a straightforward restructuring of the nursing care delivered by CLSCs, development of medical services delivered in the home would enable the more than 50% of terminally ill patients in Quebec who are cared for by CLSCs to die at home-something that most of them wish for. This article has been peer reviewed.","publication_date":"2015,4,1","publication_name":"Canadian Family Physician","grobid_abstract_attachment_id":"72746158"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Dying at home: Experience of the Verdun local community service centre","broadcastable":true,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [40617659]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; window.loginModal = {}; window.loginModal.appleClientId = 'edu.academia.applesignon'; window.userInChina = "false";</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":72746158,"attachmentType":"pdf"}"><img alt="First page of “Dying at home: Experience of the Verdun local community service centre”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/72746158/mini_magick20211015-21502-ookf3b.png?1634339580" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/images/single_work_splash/adobe_icon.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Dying at home: Experience of the Verdun local community service centre</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="40617659" href="https://independent.academia.edu/RobertMarchand"><img alt="Profile image of Robert Marchand" class="ds-work-card--author-avatar" src="https://0.academia-photos.com/40617659/31718917/28991186/s65_robert.marchand.jpg" />Robert Marchand</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2015, Canadian Family Physician</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">4 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 58236327; 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if (!viewCountBody) { throw new Error('Failed to find work views element'); } viewCountBody.textContent = `${commaizedViewCount} views`; } catch (error) { // Remove the whole views element if there was some issue parsing. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); throw new Error(`Failed to parse view count: ${viewCount}`, error); } }; // If the DOM is still loading, wait for it to be ready before updating the view count. if (document.readyState === "loading") { document.addEventListener('DOMContentLoaded', () => { updateViewCount(viewCount); }); // Otherwise, just update it immediately. } else { updateViewCount(viewCount); } })();</script></div><p class="ds-work-card--work-abstract ds-work-card--detail ds2-5-body-md">Objective To demonstrate that it is possible for a team of palliative care nurses in an urban centre to care for more than 50% of their terminally ill patients at home until they die, and that medical care delivered in the home is a determining factor in death at home versus death in a hospital. Design Analysis of place of death of terminally ill patients who died in 2012 and 2013 (N = 212) and who had been cared for by palliative care nurses, by type of medical care. Setting The centre local de services communautaires (CLSC) in Verdun, Que, an urban neighbourhood in southwest Montreal. Participants A total of 212 terminally ill patients. Main outcome measures Rate of deaths at home. Results Of the 212 patients cared for at home by palliative care nurses, 56.6% died at home; 62.6% received medical home care from CLSC physicians, compared with 5.0% who did not receive medical home care from any physician. Conclusion Combined with a straightforward restructuring of the nursing care delivered by CLSCs, development of medical services delivered in the home would enable the more than 50% of terminally ill patients in Quebec who are cared for by CLSCs to die at home-something that most of them wish for. 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Accordingly, there should be no regional variations of these services and their effect on quality of end-of-life PC (QEoLPC) indicators.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The Association Between Home Palliative Care Services and Quality of End-of-Life Care Indicators in the Province of Québec","attachmentId":40553310,"attachmentType":"pdf","work_url":"https://www.academia.edu/19317824/The_Association_Between_Home_Palliative_Care_Services_and_Quality_of_End_of_Life_Care_Indicators_in_the_Province_of_Qu%C3%A9bec","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/19317824/The_Association_Between_Home_Palliative_Care_Services_and_Quality_of_End_of_Life_Care_Indicators_in_the_Province_of_Qu%C3%A9bec"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="12705601" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/12705601/Home_Care_Evolution_in_Alberta_How_Have_Palliative_Clients_Fared">Home Care Evolution in Alberta: How Have Palliative Clients Fared?</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="31728567" href="https://independent.academia.edu/TomNoseworthy">Tom Noseworthy</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Healthcare Policy | Politiques de Santé, 2007</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Home Care Evolution in Alberta: How Have Palliative Clients Fared?","attachmentId":45993269,"attachmentType":"pdf","work_url":"https://www.academia.edu/12705601/Home_Care_Evolution_in_Alberta_How_Have_Palliative_Clients_Fared","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/12705601/Home_Care_Evolution_in_Alberta_How_Have_Palliative_Clients_Fared"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="24269486" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/24269486/Predictors_of_Place_of_Death_for_Those_in_Receipt_of_Home_Based_Palliative_Care_Services_in_Ontario_Canada">Predictors of Place of Death for Those in Receipt of Home-Based Palliative Care Services in Ontario, Canada</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="46777281" href="https://utoronto.academia.edu/BrandonZagorski">Brandon Zagorski</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="46847945" href="https://independent.academia.edu/BurnsSheri">Sheri Burns</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="47109630" href="https://independent.academia.edu/RobinMcLernon">Robin McLernon</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of palliative care, 2015</p><p class="ds-related-work--abstract ds2-5-body-sm">Many cancer patients die in institutional settings despite their preference to die at home. A longitudinal, prospective cohort study was conducted to comprehensively assess the determinants of home death for patients receiving home-based palliative care. Data collected from biweekly telephone interviews with caregivers (n = 302) and program databases were entered into a multivariate logistic model. Patients with high nursing costs (odds ratio [OR]: 4.3; confidence interval [CI]: 1.8-10.2) and patients with high personal support worker costs (OR: 2.3; CI: 1.1-4.5) were more likely to die at home than those with low costs. Patients who lived alone were less likely to die at home than those who cohabitated (OR: 0.4; CI: 0.2-0.8), and those with a high propensity for a home-death preference were more likely to die at home than those with a low propensity (OR: 5.8; CI: 1.1-31.3). An understanding of the predictors of place of death may contribute to the development of effective intervent...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Predictors of Place of Death for Those in Receipt of Home-Based Palliative Care Services in Ontario, Canada","attachmentId":44606086,"attachmentType":"pdf","work_url":"https://www.academia.edu/24269486/Predictors_of_Place_of_Death_for_Those_in_Receipt_of_Home_Based_Palliative_Care_Services_in_Ontario_Canada","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/24269486/Predictors_of_Place_of_Death_for_Those_in_Receipt_of_Home_Based_Palliative_Care_Services_in_Ontario_Canada"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="96036321" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/96036321/Homecare_Nurses_Attitudes_Toward_Palliative_Care_in_a_Rural_Community_in_Western_Quebec">Homecare Nurses' Attitudes Toward Palliative Care in a Rural Community in Western Quebec</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="16546040" href="https://independent.academia.edu/antoniaarnaert">antonia arnaert</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Hospice &amp; Palliative Nursing, 2009</p><p class="ds-related-work--abstract ds2-5-body-sm">Homecare nurses in rural areas play a key role in providing patients with continuous, personalized, and holistic care. However, palliative care for terminally ill patients and their families can be difficult to obtain and provide in geographically isolated areas of Canada. This study explored homecare nurses' attitudes toward palliative care in a rural community in Western Quebec. A qualitative design was used, which incorporated semistructured interviews and a focus group with five homecare nurses within the community's health and social service organization. Data were analyzed using a thematic content analysis technique. Six themes emerged: (1) experiencing community embeddedness, (2) maintaining patients' quality of life, (3) collaborating with a multidisciplinary team, (4) experiencing emotional and physical isolation, (5) acknowledging the need for professional development, and (6) dealing with organizational issues. Findings identified the need to develop a palliative homecare team and context-specific professional development activities for the nurses.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Homecare Nurses' Attitudes Toward Palliative Care in a Rural Community in Western Quebec","attachmentId":98047262,"attachmentType":"pdf","work_url":"https://www.academia.edu/96036321/Homecare_Nurses_Attitudes_Toward_Palliative_Care_in_a_Rural_Community_in_Western_Quebec","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/96036321/Homecare_Nurses_Attitudes_Toward_Palliative_Care_in_a_Rural_Community_in_Western_Quebec"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="31502927" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/31502927/End_of_life_care_for_nursing_home_residents_dying_from_cancer_in_Nova_Scotia_Canada_2000_2003">End-of-life care for nursing home residents dying from cancer in Nova Scotia, Canada, 2000–2003</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="60051320" href="https://independent.academia.edu/OBrienMeaghan">Meaghan O'Brien</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Supportive Care in Cancer, 2007</p><p class="ds-related-work--abstract ds2-5-body-sm">Introduction With our population aging, an increasing proportion of cancer deaths will occur in nursing homes, yet little is known about their end-of-life care. This paper identifies associations between residing in a nursing home and end-of-life palliative cancer care, controlling for demographic factors. Methods For this population-based study, a data file was created by linking individual-level data from the Nova Scotia Cancer Centre Oncology Patient Information System, Vital Statistics, and the Halifax and Cape Breton Palliative Care Programs for all persons 65 years and over dying of cancer from 2000 to 2003. Multivariate logistic regression was used to compare nursing home residents to nonresidents. Results Among the 7,587 subjects, 1,008 (13.3%) were nursing home residents. Nursing home residents were more likely to be female [adjusted odds ratio (OR) 1.4, 95% confidence interval (CI) 1.2-1.7], older (for ≥90 vs 65-69 years OR 5.4, CI 4.1-7.0), rural (OR 1.5, CI 1.2-1.8), have only a death certificate cancer diagnosis (OR 4.2, CI 2.8-6.3), and die out of hospital (OR 8.5, CI 7.2-10.0). Nursing home residents were less likely to receive palliative radiation (OR 0.6, CI 0.4-0.7), medical oncology consultation (OR 0.2, CI 0.1-0.4), and palliative care program enrollment (Halifax OR 0.2, CI 0.2-0.3; Cape Breton OR 0.4, CI 0.3-0.7). Conclusion Demographic characteristics and end-of-life services differ between those residing and those not residing in nursing homes. These inequalities may or may not reflect inequities in access to quality end-of-life care.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"End-of-life care for nursing home residents dying from cancer in Nova Scotia, Canada, 2000–2003","attachmentId":51850012,"attachmentType":"pdf","work_url":"https://www.academia.edu/31502927/End_of_life_care_for_nursing_home_residents_dying_from_cancer_in_Nova_Scotia_Canada_2000_2003","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/31502927/End_of_life_care_for_nursing_home_residents_dying_from_cancer_in_Nova_Scotia_Canada_2000_2003"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="21333018" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/21333018/Factors_Predicting_Home_Death_for_Terminally_Ill_Cancer_Patients_Receiving_Hospital_Based_Home_Care_The_Lyon_Comprehensive_Cancer_Center_Experience">Factors Predicting Home Death for Terminally Ill Cancer Patients Receiving Hospital-Based Home Care: The Lyon Comprehensive Cancer Center Experience</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="42428072" href="https://independent.academia.edu/DavidPerol">David Perol</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Pain and Symptom Management, 2005</p><p class="ds-related-work--abstract ds2-5-body-sm">This study aimed to determine factors favoring home death for cancer patients in a context of coordinated home care. A retrospective study was conducted among patients followed up by the home care coordinating unit of the cancer center of Lyon. The main endpoint was place of death. Univariate analysis included general characteristics (age, gender, rural or urban residence, disease), Karnofsky Index (KI), type of care at referral (chemotherapy, palliative care, or other supportive care), and coordinating medical oncologist (MCO) home visits. Significant factors were used in a logistic regression analysis. Of 250 patients, 90 (36%) had home death. Low KI and MCO home visit were correlated with home death (odds ratio, respectively, 2.1 and 3.1). These results indicate that health care support favors home death. A hospital-based home care unit is effective for bridging the gap between community and hospital. MCO home visits offer concrete support to health care professionals, patients, and relatives. J Pain Symptom Manage 2005;30:528--535. Ó</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Factors Predicting Home Death for Terminally Ill Cancer Patients Receiving Hospital-Based Home Care: The Lyon Comprehensive Cancer Center Experience","attachmentId":41820549,"attachmentType":"pdf","work_url":"https://www.academia.edu/21333018/Factors_Predicting_Home_Death_for_Terminally_Ill_Cancer_Patients_Receiving_Hospital_Based_Home_Care_The_Lyon_Comprehensive_Cancer_Center_Experience","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/21333018/Factors_Predicting_Home_Death_for_Terminally_Ill_Cancer_Patients_Receiving_Hospital_Based_Home_Care_The_Lyon_Comprehensive_Cancer_Center_Experience"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="113059072" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/113059072/Palliative_care_production_for_health_professionals_in_the_context_of_home_care">Palliative care production for health professionals in the context of home care</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="12321875" href="https://ucp.academia.edu/S%C3%A9rgioDeodato">Sérgio Deodato</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Revista Brasileira De Enfermagem, 2022</p><p class="ds-related-work--abstract ds2-5-body-sm">Objectives: to analyze palliative care production developed by health professionals to home care patients. Methods: this is an exploratory study, with a qualitative approach, using the transpersonal care theoretical framework. Thirteen interviews were conducted with health professionals and 18 observations were conducted on different cases. Content analysis was performed using MAXQDA ©. Results: actions performed: maintenance and follow-up measures to people eligible for palliative care, in acts of dialogue and "listening" to caregivers and users, conducting guidelines for the care and self-care process, performing technical procedures, delivery of materials, referrals and medical prescriptions to users. Final Considerations: it is perceived the need for advances in the implementation of government policies in Brazil that insert palliative care into the Health Care Network through educational, managerial and care actions that ensure human dignity, thus allowing the development of these and other palliative care interventions. Descriptors: Palliative Care; Caregivers; Health Personnel; Home Nursing; Delivery of Health Care. RESUMO Objetivos: analisar a produção dos cuidados paliativos desenvolvidas por profissionais de saúde a pacientes da atenção domiciliar. Métodos: estudo exploratório, de abordagem qualitativa, utilizando o referencial teórico do cuidado transpessoal. Foram realizadas 13 entrevistas a profissionais de saúde e 18 observações a casos distintos. Realizou-se análise de conteúdo, utilizando-se MAXQDA © software. Resultados: ações realizadas: medidas de manutenção e acompanhamento às pessoas elegíveis aos cuidados paliativos em atos de diálogo e "escuta" aos cuidadores e usuário, realização de orientações para o processo de cuidado e autocuidado, realização de procedimentos técnicos, entrega de materiais, encaminhamentos e receitas médicas aos usuários. Considerações Finais: percebe-se a necessidade de avanços na implementação de políticas governamentais no Brasil que insiram os cuidados paliativos na Rede de Atenção à Saúde por meio de ações educacionais, gerenciais e assistenciais que assegurem a dignidade humana, permitindo desenvolver essas e outras intervenções de cuidados paliativos.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Palliative care production for health professionals in the context of home care","attachmentId":110120874,"attachmentType":"pdf","work_url":"https://www.academia.edu/113059072/Palliative_care_production_for_health_professionals_in_the_context_of_home_care","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/113059072/Palliative_care_production_for_health_professionals_in_the_context_of_home_care"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="20313561" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/20313561/Place_of_death_hospital_based_advanced_home_care_versus_conventional_care_A_prospective_study_in_palliative_cancer_care">Place of death: hospital-based advanced home care versus conventional care - A prospective study in palliative cancer care</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="41580975" href="https://independent.academia.edu/MarianneAhlnerelmqvist">Marianne Ahlnerelmqvist</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Palliative Medicine, 2004</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Place of death: hospital-based advanced home care versus conventional care - A prospective study in palliative cancer care","attachmentId":41272550,"attachmentType":"pdf","work_url":"https://www.academia.edu/20313561/Place_of_death_hospital_based_advanced_home_care_versus_conventional_care_A_prospective_study_in_palliative_cancer_care","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/20313561/Place_of_death_hospital_based_advanced_home_care_versus_conventional_care_A_prospective_study_in_palliative_cancer_care"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="46242370" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/46242370/A_comprehensive_picture_of_palliative_care_at_home_from_the_people_involved">A comprehensive picture of palliative care at home from the people involved</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="38030679" href="https://liu.academia.edu/CarinaBerter%C3%B6">Carina Berterö</a></div><p class="ds-related-work--metadata ds2-5-body-xs">European Journal of Oncology Nursing, 2005</p><p class="ds-related-work--abstract ds2-5-body-sm">The purpose of this study was to identify the comprehensive picture of palliative care in the home, as experienced by the people involved. The study is a secondary analysis of three phenomenological studies including six cancer patients, six next of kin and six district nurses. Data were collected in qualitative interviews using an interview guide. The interviews were tape-recorded and transcribed verbatim. In this secondary analysis, data were analysed by hermeneutic analysis guided by Gadamer. The guiding questions during the reading were: Is there an</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A comprehensive picture of palliative care at home\r\nfrom the people involved","attachmentId":104089914,"attachmentType":"pdf","work_url":"https://www.academia.edu/46242370/A_comprehensive_picture_of_palliative_care_at_home_from_the_people_involved","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/46242370/A_comprehensive_picture_of_palliative_care_at_home_from_the_people_involved"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="23323666" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/23323666/Home_Based_Palliative_Care_Study">Home-Based Palliative Care Study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="45232922" href="https://usc.academia.edu/SusanEnguidanos">Susan Enguidanos</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Social Work in End-Of-Life & Palliative Care, 2005</p><p class="ds-related-work--abstract ds2-5-body-sm">Purpose: To examine differences in site of death and costs of services by primary diagnosis for patients receiving home-based palliative care as compared to usual care at the end of life.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Home-Based Palliative Care Study","attachmentId":43782419,"attachmentType":"pdf","work_url":"https://www.academia.edu/23323666/Home_Based_Palliative_Care_Study","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/23323666/Home_Based_Palliative_Care_Study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":72746158,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":72746158,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_72746158" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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