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Table 2 Processes of care documented in decedents (n = 79) who did versus did not receive a palliative approach to care

From: Frequency of providing a palliative approach to care in family practice: a chart review and perceptions of healthcare practitioners in Canada

Variables documented in electronic medical record Overall (n = 79), n (%) Did the patient receive a palliative approach to care? P-valueab
Yes (N = 20), n (%) No (N = 59), n (%)
Mortality Acknowledgement
 Advance Care Planning topics addressed and documented:
  Goals of care for treatment decisions (to pursue a treatment or not and why) 42 (53.2) 18 (90) 24 (40.7)  < .01
  Understanding of severity of illness (illness awareness) 32 (40.5) 17 (85) 15 (25.4)  < .01
  Values/beliefs/priorities moving forward 26 (32.9) 18 (90) 8 (13.6)  < .01
  Do-Not-Resuscitate & Do-Not-Resuscitate Confirmation Form 20 (25.3) 15 (75) 5 (8.5)  < .01
  Power of Attorney for Personal Care & Substitute Decision Makers 18 (22.8) 9 (45) 9 (15.3) .01
  Desired place of death 13 (16.5) 11 (55) 2 (3.4)  < .01
  Prognosis 11 (13.9) 11 (55) 0 (0)  < .01
  Will 2 (2.5) 2 (10) 0 (0) .06
  Funeral arrangements 2 (2.5) 2 (10) 0 (0) .06
  Other 5 (6.3) 2 (10) 3 (5.1) .60
Quality of Life
 Homecare involvement documented:
  Nurse 32 (40.5) 17 (85) 15 (25.4)  < .01
  Personal Support Worker 22 (27.8) 10 (50) 12 (20.3) .01
  Occupational Therapist 8 (10.1) 5 (25) 3 (5.1) .02
  Physiotherapist 4 (5.1) 2 (10) 2 (3.4) .26
  Psychosocial/Spiritual Advisor 3 (3.8) 3 (15) 0 (0) .01
  Registered Dietitian 2 (2.5) 1 (5) 1 (1.17) .38
  Other 12 (15.2) 1 (5) 11 (18.6) .28
Quality of Life focused symptom discussions documented:
  Physical Symptoms 71 (89.9) 19 (95) 52 (88.1) .67
  Delirium 8 (10.1) 8 (40) 0 (0)  < .01
  Symptom Assessment Tools used 5 (6.3) 2 (10) 3 (5.1) .60
  Other 1 (1.3) 1 (5) 0 (0) .25
Whole-person Care
 Primary care involvement documented:
  Most Responsible Physician 68 (86.1) 20 (100) 48 (81.4) .06
  Medical Resident 59 (74.7) 18 (90) 41 (69.5) .08
  Nurse 35 (44.3) 14 (70) 21 (35.6) .007
  Pharmacist 17 (21.5) 4 (20) 13 (22.0) 1.00
  Occupational Therapist 10 (12.7) 1 (5) 9 (15.3) .44
  Registered Dietitian 5 (6.3) 0 (0) 5 (8.5) .32
  Physiotherapist 2 (2.5) 0 (0) 2 (3.4) 1.00
  Social Worker 1 (1.3) 1 (5) 0 (0) .25
  Other 23 (29.1) 5 (25) 18 (30.5) .64
 Caregiver involvement and status documented:
  Caregiver presence documented 47 (59.5) 18 (90.0) 29 (49.2) .01
  Caregiver concerns documented 39 (49.4) 18 (90.0) 21 (35.6)  < .01
  Caregiver well-being documented 12 (15.2) 9 (45.0) 3 (5.1)  < .01
 Whole-person care focused symptom discussions documented:
  Existential/psychosocial/spiritual concerns 33 (41.8) 16 (80) 17 (28.8)  < .01
  Safety concerns 26 (32.9) 11 (55) 15 (25.4) .02
  Financial concerns 17 (21.5) 7 (35) 10 (16.9) .11
  Cultural concerns 1 (1.3) 0 (0) 1 (1.7) 1.00
 Phone care documented as ‘Often’ (5 or more phone calls)d 33 (43.4) 15 (75) 18 (32.1)  < .01
 Documented number of home visits in final year of life, mean (SD) 2.3 (7.1) 4.0 (5.1) 1.7 (7.6) .21c
  1. aPearson’s Chi-Squared Test
  2. bFisher’s Exact Test for categorical data with expected cell sizes < 5
  3. cIndependent samples t-test
  4. dOverall sample of N = 76 due to incomplete chart reviews