Palliative Care
Bioethics | The Reluctant Patient and the Insistent Doctor.
19 Oct, 2021 | 08:50h | UTCThe Reluctant Patient and the Insistent Doctor – The American Journal of Medicine
WHO provides guidance to address the shortage of quality palliative care services.
14 Oct, 2021 | 09:59h | UTCNews release: WHO takes steps to address glaring shortage of quality palliative care services – World Health Organization
See Guidance:
Commentary on Twitter (thread – click for more)
Today is World Hospice and Palliative Care Day!
DYK❓ Over 5⃣5⃣ million people around the ? are in need of #PalliativeCare but only 12% of the global need is met.
Access to palliative care services is a human right to health ?https://t.co/MebmzEstql pic.twitter.com/WQ3d40dH6d
— World Health Organization (WHO) (@WHO) October 9, 2021
Survey finds misperceptions associated with palliative care are widespread – stigma may be perpetuated by those who falsely believe they understand its meaning.
11 Oct, 2021 | 23:54h | UTCPublic knowledge and attitudes concerning palliative care – BMJ Supportive & Palliative Care
Commentary on Twitter
Public misperceptions & stigma around palliative care are significant issues even for very well developed health systems. 29% of Canadian sample believed pall care meant doctors were 'giving up'. https://t.co/gpCFwFrk8z pic.twitter.com/TZsqwdbQnt
— Richard Sullivan (@SullivanProf) October 10, 2021
Choosing Wisely: Seven things physicians and residents/patients should question in long term care.
7 Oct, 2021 | 10:31h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
SILENCE Randomized Trial: In patients at the end of life, prophylactic subcutaneous scopolamine butylbromide reduces the occurrence of the death rattle (noisy breathing caused by mucus in the upper respiratory tract).
6 Oct, 2021 | 09:54h | UTCEffect of Prophylactic Subcutaneous Scopolamine Butylbromide on Death Rattle in Patients at the End of LifeThe SILENCE Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Preventing Death Rattle With Prophylactic Subcutaneous Scopolamine Butylbromide – JAMA (free for a limited period)
Author interview: Scopolamine Butylbromide for Preventing End-of-Life Death Rattle – JAMA
Commentary on Twitter
In a randomized clinical trial among patients near the end of life, prophylactic subcutaneous scopolamine butylbromide significantly reduced the occurrence of death rattle https://t.co/e6BDI5yirY pic.twitter.com/hHfhC2iYHh
— JAMA (@JAMA_current) October 5, 2021
Never Waste a Pandemic: Strategies to Increase Advance Care Planning Now.
29 Sep, 2021 | 10:22h | UTCNever Waste a Pandemic: Strategies to Increase Advance Care Planning Now – Mayo Clinic Proceedings
Palliative and End-of-Life Care: Prioritizing Compassion Within the ICU and Beyond.
22 Sep, 2021 | 09:57h | UTC
Podcast: Advance Your Care Planning.
21 Sep, 2021 | 08:51h | UTC#295 Advance Your Care Planning with Dr. Rebecca Sudore – The Curbsiders
‘Do not resuscitate’ decision recorded for only 1 in 5 very sick hospitalized older patients, study finds
14 Sep, 2021 | 08:40h | UTCOriginal study: Do not attempt cardiopulmonary resuscitation (DNACPR) decisions for older medical inpatients: a cohort study – BMJ Supportive & Palliative Care
Medical, ethical, and legal aspects of end-of-life dilemmas in the intensive care unit.
7 Sep, 2021 | 10:37h | UTC
Care of the adult cancer patient at the end of life: ESMO Clinical Practice Guidelines.
7 Sep, 2021 | 10:34h | UTCCare of the adult cancer patient at the end of life: ESMO Clinical Practice Guidelines – ESMO Open
Perspective | That ‘damn machine’: the dark side of mechanical ventilators in the ICU.
25 Aug, 2021 | 09:04h | UTCThat ‘damn machine’: the dark side of mechanical ventilators in the ICU – STAT
Variations in end-of-life practices in intensive care units worldwide: a prospective observational study.
20 Aug, 2021 | 08:51h | UTCVariations in end-of-life practices in intensive care units worldwide (Ethicus-2): a prospective observational study – The Lancet Respiratory Medicine (link to abstract – $ for full-text)
Commentary on Twitter
Limitation of life-sustaining therapies is common worldwide with regional variability. Withholding treatment is more common than withdrawing treatment. Variations in type, frequency, and timing of end-of-life decisions were observed. https://t.co/skfjazyt7x @LancetRespirMed
— Martijn A. Spruit (@pulmonary_rehab) August 9, 2021
Effect of early palliative care on end-of-life health care costs: a population-based, propensity score–matched cohort study.
18 Aug, 2021 | 08:30h | UTC
Commentary on Twitter
⚕️@oncoalert:
Ultimately you refer to #palliativeCare because it's what's best for patients. For symptom control, decreased anxiety/depression, & for essential #goalsofcare conversations.The fact that early #pallonc care is cost-saving?
Even better. #hpmhttps://t.co/xVkD2FoP17 pic.twitter.com/drhPxHMCSO— Fumiko Ladd Chino, MD (@fumikochino) August 17, 2021
Systematic review: Prescribing practices, patterns, and potential harms in patients receiving palliative care – “many patients receiving palliative care receive multiple medications closer to the time of death”.
11 Aug, 2021 | 08:23h | UTC
Commentary on Twitter
Useful overview of observational research about prescribing in #palliativecare – more work needed to assess appropriateness, potential harms and prescribing trendshttps://t.co/7abM5ANEH0
— Deprescribing (@Deprescribing) August 10, 2021
NCCN Guidelines Insights: Palliative Care.
4 Aug, 2021 | 09:02h | UTC
Moral uncertainty: A case study of Covid-19.
28 Jul, 2021 | 10:05h | UTCMoral uncertainty: A case study of Covid-19 – Patient Education and Counseling
Commentary on Twitter
My paper 'Moral Uncertainty – a case study of Covid-19', in which I write about the death of my mother, is now available open access. https://t.co/5aNaeL18xv
— Trisha Greenhalgh (@trishgreenhalgh) July 26, 2021
Review: Ethics in extracorporeal life support.
23 Jul, 2021 | 10:29h | UTCEthics in extracorporeal life support: a narrative review – Critical Care
Advance Care Planning for people with dementia: recognizing moral dilemmas faced by physicians.
28 May, 2021 | 08:14h | UTC
Opinion | Reconceptualizing how to support surrogates making medical decisions for critically ill patients.
17 May, 2021 | 08:08h | UTCReconceptualizing How to Support Surrogates Making Medical Decisions for Critically Ill Patients – JAMA (free for a limited period)
General anesthesia in end‐of‐life care: extending the indications for anesthesia beyond surgery
22 Apr, 2021 | 08:26h | UTC
Commentary on Twitter
?"Our redefinition of the scope and reach of general anaesthesia through end‐of‐life care, radical though it is, would recognise that anaesthetists have skills that can help alleviate suffering for the dying patient."@TaklaAntony @Assoc_Anaes #FOAMed
?https://t.co/51Ja7lFIBU pic.twitter.com/vnpvf484my
— ??????????? (@Anaes_Journal) April 21, 2021
Study: Protocoled time-limited trials among critically ill patients with advanced medical illnesses were associated with reduction of nonbeneficial ICU treatments
13 Apr, 2021 | 05:16h | UTCEvaluation of Time-Limited Trials Among Critically Ill Patients With Advanced Medical Illnesses and Reduction of Nonbeneficial ICU Treatments – JAMA Internal Medicine (free for a limited period)
Commentary: Time-Limited Trials and Potentially Nonbeneficial Treatment in the ICU—Willing to Wait for It – JAMA Internal Medicine AND Time-limited trials may decrease the length of stay of critically ill patients in the intensive care unit – 2 Minute Medicine
Author interview: Time-Limited Trials Among Patients With Advanced Illness to Reduce Nonbeneficial ICU Treatments
Related review: Time-limited trial of intensive care treatment: an overview of current literature – Intensive Care Medicine
Long-term mortality of elderly patients after intensive care unit admission for COVID-19
14 Apr, 2021 | 02:09h | UTC
Commentary on Twitter
Long-term outcome of elderly (≥ 80y) #COVID19 pts admitted to #ICU: 6-month mortality ➡️ 72% (likely underestimated) at upper end of recent literature on older critical pts. Data supporting more informed goals-of-care decisions for this #SARSCoV2 cohort?https://t.co/mIKNxNpdC8 pic.twitter.com/OQS5SN5FXR
— Intens Care Med (@yourICM) April 13, 2021
Systematic review | Hospital at home: home‐based end‐of‐life care
17 Mar, 2021 | 02:31h | UTCHospital at home: home‐based end‐of‐life care – Cochrane Library
Summary: Home-based end-of-life care – Cochrane Library
Comparison of palliative care delivery in the last year of life between adults with terminal noncancer illness or cancer
11 Mar, 2021 | 07:55h | UTCCommentary: People with dementia receive fewer palliative referrals than those with cancer: study – McNight’s
Commentary on Twitter
Cohort study finds differences in #PalliativeCare for cancer vs noncancer patients: Earlier initiation/Multiple settings/Shared care. Need to improve equitable access to care across all settings @CanadianHPCAssn @AAHPM @HQOntario @ICESOntario @SinaiHealth https://t.co/b7i4z8zokq
— JAMA Network Open (@JAMANetworkOpen) March 5, 2021