Table 3.
Quality of life during the last 3 days of life and Quality of dying | Process of care | Satisfaction with health care in the last 3 days of life |
---|---|---|
Quality of life: Perceptions by relatives and health care providers of quality of life during last 3 days of life: Global rate (0–10) |
Technical process Appropriate use of nursing interventions Changes in treatment policy/NTBR |
Patient satisfaction with care: Perceptions by relatives: Preferences honoured regarding way of dying Satisfaction with: |
Physical comfort Psychological well-being Social functioning and well-being Spiritual well-being, being in peace |
Symptom management Recognition of imminent death Referrals to multidisciplinary consultation team |
- technical process |
- decision making process | ||
- interpersonal and communication style | ||
Quality of dying of patient Perceptions by family and health are providers of quality of dying of patient: Global rate (0–10) |
|
Relatives’ satisfaction with care Satisfaction with: |
- technical process | ||
Life closure and death preparation Circumstances of death |
- decision making process |
|
- timeliness and usefulness of information and counselling |
||
- interpersonal and communication style | ||
Quality of life of family Health status Grief resolution |
|
- extent to which patient/family preferences honoured |
|
|
- extent to which opportunities provided to patient to complete life meaningfully |
- present at patients’ death |
Derived and adapted from Stewart et al. (1999) Conceptual model of factors affecting quality and length of life of dying patients and their families.