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      Quality end-of-life care in long-term care facilities: service providers' perspective.

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          Abstract

          The goal of this project was to provide guidance on what constitutes quality end-of-life care in long-term care (LTC) facilities. Seventy-nine direct care providers from six LTC facilities participated in 12 focus groups. The focus group discussions examined what made the difference between a "good" death and a "bad" death, and what changes in LTC would improve the care of dying residents. Analyses of the focus group data revealed six themes that contribute to quality end-of-life care in LTC facilities: responding to resident needs, creating a homelike environment, supports for families, providing quality care processes, recognizing death as a significant event, and having sufficient institutional resources. These findings challenge policy makers and providers to consider how to normalize life and death in LTC facilities.

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          Author and article information

          Journal
          J Palliat Care
          Journal of palliative care
          0825-8597
          0825-8597
          2004
          : 20
          : 2
          Affiliations
          [1 ] Department of Clinical Epidemiology and Biostatistics, McMaster University and St. Joseph's Health System Research Network, Hamilton, Canada.
          Article
          15332472

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