AEGiS-11IAC: Determinants of home care until death of patients with advanced AIDS.

11th International AIDS Conference


Vancouver, British Columbia — July 7-12, 1996

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Determinants of home care until death of patients with advanced AIDS.

Int Conf AIDS 1996 Jul 7-12; 11:223 (abstract no. Th.B.194)
Daneault S, Boudreau J, Delwaide L, Milette L, Pilon L; Direction de la sante publique (OESP), Hopital Maisonneuve-Rosemont, Montreal, Quebec, Canada. Fax:(514)528-2598.

ISSUE: Patients with advanced AIDS who have chosen to die at home accomplish this more easily under certain conditions.

PROJECT: The Faubourg local Community Service Centre (CLSC) in Montreal, Quebec, Canada, provides home care services to people living with AIDS over a territory which includes the gay village. Since April 1994, a multidisciplinary team of social and family assistance technicians, nurses, social workers, psychologists and physicians has been working to permit patients who so desire to finish their lives at home. This project was designed to identify variables predictive of receipt of home care until death (HCUD).

RESULTS: The project was conducted among 49 patients who had received services between June 1st and December 31st, 1995. Demographic factors such as age and socioeconomic status were unrelated to HCUD. Several disease related factors were negatively related to HCUD, including length of illness, number of contacts with hospital resources, usage of anti-retrovirus therapy and the presence of dementia at the beginning of the follow up period. Some service factors, such as the number of different professionals involved, presence of uncontrolled pain and the length of home follow up were also negatively related to HCUD.

LESSONS LEARNED: Patients who have fewer contacts with intensive resources are those most likely to achieve death at home, as long as the care and services put in place to support them are effective in reducing pain and are global and continuous.

Keywords: AEGIS, Death, Home Care Services, Acquired Immunodeficiency Syndrome, Pain, Attitude to Death, Family, Canada, Quebec, Human, nursing, ICA11KWDaegis,death,homecareservices,acquiredimmunodeficiencysyndrome,pain,attitudetodeath,family,canada,quebec,human,nursing,ica11

960707
ThB194

Copyright © 1996 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.