Advance care planning, palliative care, and end-of-life care interventions for homeless people: A systematic review

March 9, 2017

Source: Palliative Medicine 2017 Feb; 31 (2): 109-119

Follow this link for abstract

Date of publication: February 2017

Publication type: Journal Article

In a nutshell: This systematic review aims to summarize and evaluate the evidence surrounding advance care planning, palliative care, and end-of-life care interventions for homeless persons.

Length of publication: 11 pages


Successful launch of North Manchester Macmillan Palliative Care Support Service

November 4, 2015

Source: Pennine Acute Hospitals NHS Trust

Follow this link for the fulltext press-release

Date of publication: October 2015

Publication type: Press release

In a nutshell: The North Manchester Macmillan Palliative Care Support Service (NMMPCSS) was launched September 21 2015. The £560k service is part of the Macmillan Cancer Improvement Partnership (MCIP) and has been developed through a partnership between Macmillan Cancer Support, the Manchester Clinical Commissioning Groups, The Pennine Acute Hospitals Trust, and St Ann’s Hospice. The service provides

  • Round-the-clock telephone advice, as well as visits and care in the home;
  • Dedicated professionals working together with patients and carers – seven days a week from 8am to 8pm
  • An open referral system for patients, carers and professionals. (Patients can refer themselves to the service)
  • Help with managing problems such as pain, sickness, breathlessness, and psychological and emotional support
  • Ways for people to talk about what is important to them in their care
  • Extra help at home when things are difficult, bringing support to carers

 


General practitioners perceptions on advance care planning for patients living with dementia

May 6, 2015

Source: BMC Palliative Care 2015 14; 14

Follow this link for the full article

Date of publication: April 2015

Publication type: Research article

In a nutshell: Advance care planning (ACP) facilitates communication and understanding of preferences, nevertheless the use of ACPs in primary care is low. The uncertain course of dementia and the inability to communicate with the patient living with dementia are significant challenges for GPs to initiate discussions on goals of care. A cross-sectional survey, using a purposive, cluster sample of GPs across Northern Ireland with registered dementia patients was used. The results suggest that while most respondents felt that GPs should take the initiative to introduce and encourage ACP, most survey participants acknowledged the need for improved knowledge to involve families in caring for patients with dementia at the end of life and that a standard format for ACP documentation was needed. In conclusion the article suggests optimal timing of ACP discussions should be determined by the readiness of the patient and family carer to face end of life. ACP discussions can be enhanced by educational strategies directed towards the patient and family carer that enable shared decision-making with their GP when considering options in future care.

Length of publication: 6 pages

 


End of Life Care: Fifth report of Session 2014-15

April 10, 2015

Source: House of Commons Health Committee

Follow this link for the full report

Date of publication: March 2015

Publication type: Parliamentary report

In a nutshell: This report looks at the state of End of Life Care since the Independent Review of the Liverpool Care Pathway. This report makes a number of recommendations for improvement.

Length of publication: 54p.

 


End of life outreach service launches across the UK

December 9, 2014

Source: ehospice.com

Follow this link for the webpage

Date of publication: December 2014

Publication type: News article

In a nutshell:‘My Life, My Decision’ aims to support older people to make informed decisions about their treatment and care at the end of life by providing information on their choices and the opportunity to discuss their wishes.

The outreach service, run by Compassion in Dying in partnership with local branches of Age UK, will be available across England following a successful pilot in East London and a Big Lottery Fund grant of £1 million.There are three main strands to the project:

  • raising awareness of end of life rights among older people and their communities
  • offering one-to-one support to older people who want to discuss their wishes for treatment and care, and providing support to complete an Advance Decision or a Health & Welfare Lasting Power of Attorney
  • delivering accredited training to professionals, volunteers and community groups.

Length of publication: 1 page

 


The effects of advance care planning on end of life care: A systematic review

September 8, 2014

Source: Palliative Medicine 2014 v.28(8), p1000-1025

Follow this link for the abstract

Date of publication: September 2014

Publication type: Journal article

In a nutshell: This article presents an overview of studies on the effects of advance care planning and gains insight in the effectiveness of different types of advance care planning.  There is evidence that advance care planning positively impacts the quality of end-of-life care. Complex advance care planning interventions may be more effective in meeting patients’ preferences than written documents alone. More studies are needed with an experimental design, in different settings, including the community.

Length of publication: 26p.

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library

 


A case study approach to investigating end-of-life decision making in an acute health service

August 9, 2013

Source: Australian Health Review, vol.37(1) pp93-7

Follow this link for full text article

Date of publication: February 2013

Publication type: Article

In a nutshell: This article aimed to identify end-of-life (EOL) decision making processes for patients with non-cancer illnesses in a major metropolitan hospital in Australia. A retrospective review using a case study framework of 47 randomly selected patient records over  a 6-month period explored issues in End of Life care planning. The article concludes that the development and effective implementation of EOL plans is associated with the active involvement of both family members and health professionals. It also draws attention to the risks of delaying EOL discussions until late in the illness trajectory or later in life as well as pointing to challenges in acting on EOL developed outside the hospital environment.

Length of publication: 5 pages

Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library