Palliative Care in Nursing Homes


This project at the Leiden University Medical Centre explored the use of palliative care tools in nursing homes in the Netherlands.

The situation and needs of nursing home residents often change, and the palliative-terminal phase is often difficult to recognize. A range of tools exist (such as pain observation scales and life- expectation estimation lists) that aim at systematizing palliative care.

It was unclear, however, which tools were, or were not, being used in nursing homes and how professional caregivers experienced using them.

Through action research in 10 nursing homes, this project mapped the needs of professional caregivers in the palliative phase and brought into view their experiences with the various available care tools in practice.

The final report (in Dutch) can be downloaded here.

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