| Ten years' activity of the first Italian public hospice for terminally ill patients. | |
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MedLine Citation:
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PMID: 15351879 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a review of the first 10 years of the hospice at the Geriatric Institute Pio Albergo Trivulzio of Milan, Italy's first public hospice for the admission of terminally ill patients. Over 1200 patients were admitted to the nine-bed hospice between October 1991 and December 2001, most of whom (63%) were referred by the Home Palliative Care Units operating in Milan. The hospice patients are elderly (nearly 60% are 70 or more years of age, median 72 years). Admission to the hospice was until the patient's death (74% of patients) after a brief time (4 weeks on average). From the very outset, we have striven to focus our attention on the daily application of the programmes of care inspired by the philosophy and practice of palliative medicine, i.e. the holistic approach and attention devoted to quality of life, multidimensional assessment, and the services of a multiprofessional team to provide, alongside medical and nursing assistance, psychosocial and spiritual support, bereavement support, etc. The continuing education of health workers and the systematic use of a clinical audit tool specifically designed for palliative care, are the two key elements which, in our judgement, have proved to be the most fruitful in reaching the objectives described above. These 10 years of the Pio Albergo Trivulzio Hospice have made a significant contribution towards defining a concrete Italian model which can be applied to the care of the terminally ill inpatient. |
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Authors:
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Massimo Monti; Ettore Cunietti; Lucia Castellani; Mariarosa Merli; Flavio Cruciatti |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer Volume: 12 ISSN: 0941-4355 ISO Abbreviation: Support Care Cancer Publication Date: 2004 Nov |
Date Detail:
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Created Date: 2005-02-25 Completed Date: 2005-03-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9302957 Medline TA: Support Care Cancer Country: Germany |
Other Details:
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Languages: eng Pagination: 752-7 Citation Subset: IM |
Affiliation:
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Istituto Geriatrico Pio Albergo Trivulzio, 20146 Milan, Italy. monti.massimo@tin.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Attitude of Health Personnel Community Health Services / methods Female Health Care Surveys Home Care Services / organization & administration, statistics & numerical data Hospice Care / organization & administration, statistics & numerical data* Hospices / organization & administration* Humans Italy Male Middle Aged Neoplasms / mortality, therapy Nurse-Patient Relations Palliative Care / methods, organization & administration, statistics & numerical data Patient Care Team / organization & administration* Physician-Patient Relations Program Evaluation Quality of Health Care Retrospective Studies Terminal Care / organization & administration, statistics & numerical data* Terminally Ill |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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