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Kristian Jansen

Forsker II
NORCE, Uni Research Helse - Allmennmedisin

End-of-life in the nursing home

 

Nearly half of all deaths in Norway occur in nursing homes. What is the doctor’s role in patient care at the end-of-life in nursing homes? Our project focuses three aspects:

         Challenges experienced by doctors working with dying nursing home patients

         Drug prescribing near the end of life

         Evidence base for palliative drug treatment                  

Doctors challenges

Based on focus group interviews, we explore nursing home doctors' experiences with dying patients in nursing homes. Such knowledge can help increase doctors' focus on preparatory conversations and interdisciplinary cooperation at the end of life.

Palliative medication

A cohort study among deceased nursing home patients showed that palliative medication was prescribed to 74% of patients on the day of death; especially for cancer patients and patients with long stays. Most drug changes occurred on the day of death.

Evidence-based drug treatment

We conduct a systematic review of research-based knowledge about medication at the end of life.

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Funding: General Practice Research Fund

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