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5 天之前 · BMJ Supportive & Palliative Care is a Plan S compliant Transformative Journal.. BMJ Supportive & Palliative Care holds an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical …
Oregon Death with Dignity Act access: 25 year analysis
2024年4月5日 · Results The number of assisted deaths in Oregon increased from 16 in 1998 to 278 in 2022. Over this time, patients’ health funding status changed from predominantly private (65%) to predominantly government support (79.5%), and there was an increase in patients feeling a burden and describing financial concerns as reasons for choosing an assisted death.
Hydration and symptoms in the last days of life
Introduction. Most patients with a deteriorating chronic illness have a reduced oral intake at the end of life. This may be due to illness or treatment-related symptoms or complications, such as dysphagia, nausea or vomiting, generalised weakness and, in the last days of life, to a decreased level of consciousness or a loss of desire to drink.1 2 …
‘Supportive and Palliative Care Indicators Tool (SPICT) improves …
Background Identification of people with deteriorating health is essential for quality patient-centred care and optimal management. The Supportive and Palliative Care Indicators Tool (SPICT) is a guide to identifying people with deteriorating health for care planning without incorporating a prognostic time frame. Objectives To improve renal nursing staff confidence in …
P57 Collaborative advance care planning: improving palliative care …
Methods This randomised controlled trial investigates the efficacy and effectiveness of a collaborative ACP (cACP) intervention in palliative cancer patients and their care givers by comparing three groups: 1. cACP-Intervention; 2. Supportive intervention 3. Treatment as usual. The cACP-intervention consists of four sessions (two with the patient alone, one with the care giver alone, one ...
Decision-making in palliative care: patient and family caregiver ...
Introduction. Family caregivers have significant caregiving roles in palliative care, providing important support to the person they care for.1 Family caregivers provide a combination of physical, psychological, emotional, social and financial support to the person with a life-limiting illness. Care is an inherently relational activity which widens the focus of …
17 Improving out-of-hours access to end-of-life care medications …
Introduction Timely and efficient access to end-of-life medications 24/7 is crucial for effective symptom management and prevention of potentially avoidable hospital admissions of those receiving palliative care at home. There is significant variation in the availability and accessibility of medicines across different areas, settings and times of …
Indwelling urinary catheters at the end of life are associated with ...
At the end of life (EOL), deterioration in the ability to perform bodily functions can be a natural product of the progression of illness. The ability to empty the bladder and bowels decreases as frailty worsens, with unresponsive patients unable to control these bodily processes. The incidence of catheterisation in palliative care often exceeds 40%1 due to …
Repeated radiological procedures in the last 6 months of life in old ...
2024年8月7日 · Objectives This novel study looks at the use of radiological procedures in an elderly cohort of patients in their last 6 months of life. Radiological imaging plays a central part of clinical investigations, but too many may override the judgement of benefits, risks and resources. There is little information on the burden of radiological procedures performed towards the end of life in patients ...
Palliative care screening tools and patient outcomes: a systematic ...
2024年8月24日 · Background Palliative care (PC) refers to providing patients with physical, psychological, mental, and other care and humanistic care services in a multidisciplinary collaborative mode with end-of-stage patients and family members as the centre. The PC screening tool (PCST) was developed to identify individuals who may benefit from PC services and is widely assumed to improve patient outcomes.