Palliative Care Home Support Packages (PEACH): a carer cross-sectional survey.

Chow, JSF; Barclay, G; Harlum, J; Swierczynski, J; Jobburn, K; Agar, M; PEACH Program,; PEACH Program Inter-District Executive Management Group,

Palliative Care Home Support Packages (PEACH): a carer cross-sectional survey.

Chow, JSF Barclay, G Harlum, J Swierczynski, J Jobburn, K Agar, M

PEACH Program, PEACH Program Inter-District Executive Management Group,

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Publisher:: BMJ
Publication Type:: Journal Article
Citation:: BMJ supportive & palliative care, 2021, pp. bmjspcare-2020-002294
Issue Date:: 2021-02-12

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Field	Value	Language
dc.contributor.author	Chow, JSF
dc.contributor.author	Barclay, G
dc.contributor.author	Harlum, J
dc.contributor.author	Swierczynski, J
dc.contributor.author	Jobburn, K
dc.contributor.author	Agar, M https://orcid.org/0000-0002-6756-6119
dc.contributor.author	PEACH Program,
dc.contributor.author	PEACH Program Inter-District Executive Management Group,
dc.date.accessioned	2021-12-15T03:28:23Z
dc.date.available	2020-11-17
dc.date.available	2021-12-15T03:28:23Z
dc.date.issued	2021-02-12
dc.identifier.citation	BMJ supportive & palliative care, 2021, pp. bmjspcare-2020-002294
dc.identifier.issn	2045-435X
dc.identifier.issn	2045-4368
dc.identifier.uri	http://hdl.handle.net/10453/152339
dc.description.abstract	<h4>Background</h4>In December 2013, a partnership between five local health districts and a non-governmental organisation implemented the Palliative Care Home Support Packages (PEACH) Program. The PEACH Program aims to support palliative care clients in their last days of life at their own home. This study sought to evaluate the quality of care delivered by the service from the perspective of clients' primary carers.<h4>Methods</h4>A letter was sent to carers of clients 6-10 weeks after the client's death, inviting them to participate in an anonymous survey. The survey measured the level of satisfaction on various aspects of the service using FAMCARE and Likert scales, and invited for comments about the care received and suggestions for improvement.<h4>Results</h4>Out of 17 aspects of care provided by the PEACH Program, 13 were scored with 'exceptional' or 'acceptable performance'. The highest satisfaction was observed in meeting clients' physical needs and providing pain relief. The most dissatisfaction was observed in addressing spiritual matters, family conferences and information about treatment side effects. Ninety-five per cent of responses were either 'satisfied' or 'very satisfied' with the overall care provided at home during the last week of the client's life.<h4>Conclusion</h4>The results of this research provide further evidence to the field of what constitutes a good home death and the support mechanisms required to enable this. The results also have strong implications on how local services provided by the PEACH Program are delivered in the future.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	BMJ
dc.relation.ispartof	BMJ supportive & palliative care
dc.relation.isbasedon	10.1136/bmjspcare-2020-002294
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services
dc.title	Palliative Care Home Support Packages (PEACH): a carer cross-sectional survey.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
dc.date.updated	2021-12-15T03:28:23Z
pubs.publication-status	Published

Abstract:

Background

In December 2013, a partnership between five local health districts and a non-governmental organisation implemented the Palliative Care Home Support Packages (PEACH) Program. The PEACH Program aims to support palliative care clients in their last days of life at their own home. This study sought to evaluate the quality of care delivered by the service from the perspective of clients' primary carers.

Methods

A letter was sent to carers of clients 6-10 weeks after the client's death, inviting them to participate in an anonymous survey. The survey measured the level of satisfaction on various aspects of the service using FAMCARE and Likert scales, and invited for comments about the care received and suggestions for improvement.

Results

Out of 17 aspects of care provided by the PEACH Program, 13 were scored with 'exceptional' or 'acceptable performance'. The highest satisfaction was observed in meeting clients' physical needs and providing pain relief. The most dissatisfaction was observed in addressing spiritual matters, family conferences and information about treatment side effects. Ninety-five per cent of responses were either 'satisfied' or 'very satisfied' with the overall care provided at home during the last week of the client's life.

Conclusion

The results of this research provide further evidence to the field of what constitutes a good home death and the support mechanisms required to enable this. The results also have strong implications on how local services provided by the PEACH Program are delivered in the future.

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http://hdl.handle.net/10453/152339