Destitute and dying: interventions and models of palliative and end of life care for homeless adults – a systematic review
2024

Palliative Care for Homeless Adults

Sample size: 9 publication 10 minutes Evidence: moderate

Author Information

Author(s): Megan Rose Coverdale, Fliss Murtagh

Primary Institution: Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull

Hypothesis

What interventions and models of care are used to address the palliative and end of life care needs of adults who are experiencing homelessness, and are they effective?

Conclusion

Key components of care to support homeless adults needing palliative and end of life care include advocacy, multidisciplinary working, professional education, and community-based care.

Supporting Evidence

  • Nine studies were included in the review, focusing on various interventions for homeless adults needing palliative care.
  • Key components identified for effective care included advocacy and multidisciplinary collaboration.
  • Educational programs improved staff knowledge and confidence in providing palliative care.

Takeaway

This study looks at how to help homeless people who are very sick and need special care at the end of their lives. It found that working together and listening to their needs is really important.

Methodology

A systematic review was conducted using standard methods, searching multiple databases for studies published since 2000, and assessing study quality.

Potential Biases

Potential bias due to the exclusion of studies not reporting on interventions or models of care for at least 50% of their study population.

Limitations

The review primarily included qualitative data and lacked perspectives from homeless individuals themselves.

Participant Demographics

Most participants were white, with a significant male preponderance; some studies included black and transgender individuals.

Statistical Information

P-Value

<0.001

Digital Object Identifier (DOI)

10.1136/spcare-2024-004883

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication