The Development of Long Term Care onPalliative Care System forEnd of Life Patients at Community Pakkad District, BuengKan Province

Abstract

Purposes :This research and development aims to develop a system and study the effects of the palliative care system in the community, Pak Khat District, BuengKan Province.

Study Design : Research and Development

Materials and Methods :This cycle composed of 4 steps: Plan, Do, Check, Act.124 of paticipantswere divided into: 54 of end of life patients, 30 of care givers, 10 of multidisciplinary teams, 30 of nurses, It was during Aprilto  June 2021. The research instrumentswere: 1)Palliative Performance Scale for adult Suandok version 2. 2) Care giver satisfaction assessment form 3) Nurse satisfaction assessment form. The consistency index (IOC) was between 0.7 – 1.00. Data were analyzed by descriptive statistics and paired sample t-test and qualitative data were used content analysis.

Main findings : 1)The major problems and needs for management of palliative nursing services in the community, namely nursing personnel; nursing service system nursing service patient and family and equipment and tools. 2)The palliative care system for end of life care patients composing of the guideline of palliative care for end of life care patients for assessment of physical symptoms psychosocial and spiritual care and stress of caregiver 3)Caregiver satisfaction and Nurse satisfaction assessment to implement the system at a high level and produce good results for service providers and clients.

Conclusion and recommendations  :This result of study indicated that developed palliative care for end of life care patients increase positive outcome of end of life care patients. Therefore, this system should be generalized to all other settings.