Key result
Transitioning to palliative care in LMICs exposes significant patient challenges including uncertainty and unmet needs.
Why the study?
This study aimed to explore literature on experiences of patients with advanced chronic disease transitioning to palliative care in low- and middle-income countries.
What are the experiences of patients with advanced chronic disease transitioning to palliative care in low- and middle-income countries?
Systematic Review (n=16)
What are the experiences of patients with advanced chronic disease transitioning to palliative care in low- and middle-income countries?
Patients in LMICs transitioning to palliative care face significant challenges including poor understanding of palliative care, uncertainty, unmet psychosocial needs, and poor communication with healthcare providers.
Supports addressing communication gaps during LMIC palliative transitions; extends evidence on experiences but requires interventional trials.
Background: Palliative care is a holistic approach aimed at improving the quality of life for patients with advanced chronic diseases by providing physical, emotional, and spiritual support. communication is crucial during every stage of an illness to ensure that patients wishes are respected. This scoping review aimed to explore the literature on experiences of patients with advanced chronic disease transitioning to palliative care in low- and middle-income countries. Methodology: This review was guided by Arksey and O'Malley's scoping review framework. A systematic search of the literature was conducted in MEDLINE, PubMed, Cochrane Library, PsycINFO, and Google Scholar from 2012 to 2022. thematic analysis was utilized to construct themes. Results: The review identified key themes concerning the transition of people with advanced chronic diseases to palliative care in LMICs, including poor understanding, uncertainty, need for support, and poor communication. Conclusion: This review offers valuable insights into the experiences of patients transitioning to palliative care, aiding in the development of more effective interventions for researchers, clinicians, and policymakers.
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Nankundwa et al. (2023) conducted a systematic review in Advanced chronic disease (n=16). Transition to palliative care was evaluated on Patient experiences and challenges during transition to palliative care. Patients with advanced chronic diseases in low- and middle-income countries transitioning to palliative care experience significant challenges, including poor understanding, uncertainty, and unmet needs.
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