Identification of the palliative phase in people with dementia: a variety of opinions between healthcare professionals

November 4, 2015

Source: BMC Palliative Care 2015, v.14:56

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Date of publication: November 2015

Publication type: Research article

In a nutshell: The objective of this study was to explore when professionals in long-term care settings consider a person with dementia in need of palliative care. The findings from this study suggest that professionals across Europe have different opinions regarding the time point when to consider a person with dementia in need of palliative care.

Length of publication:6 pages

 


Living with and dying from advanced heart failure: understanding the needs of older patients at the end of life

November 4, 2015

Source: BMC Geriatrics October 2015

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Date of publication: October 2015

Publication type: Research article

In a nutshell: Old and very old patients with advanced heart failure often do not acknowledge the seriousness and severity of the disease. Their communication with physicians predominantly focuses on curative treatment. Therefore, aspects such as self-management of the disease, dealing with emergency situations and end-of-life issues should be addressed more prominently. An advanced care planning (ACP) programme for heart disease in older people could be an option to improve patient-centred care.

Length of publication: 21 pages

 


UK quality statements on end of life care in dementia: a systematic review of research evidence

November 3, 2015

Source: BMC Palliative Care 2015 v14.:51

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Date of publication: October 2015

Publication type: Research article

In a nutshell: The importance of a palliative approach in the care of people with dementia is recognised and there are national polices to enhance current care. In the UK implementation of these polices is promoted by the National Institute for Health and Care Excellence (NICE) Dementia Quality Standards (QS). Since publication of the QS new care interventions have been developed. This article critically reviews current research evidence relevant to EOL Quality Standards. The article concludes that Quality statements relevant to EOL care are useful to advance practice however they have a limited evidence base. High quality empirical work is needed to establish that the recommendations in these statements are best practice.

Length of publication: 15 pages

 

 


Is dying in hospital better than home in incurable cancer and what factors influence this? A population-based study

October 9, 2015

Source: BMC Medicine 2015, 13:235

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Date of publication: October 2015

Publication type: Article

In a nutshell: This study aims to determine the association between place of death, health services used, and pain, feeling at peace, and grief intensity.  The authors determined factors influencing death at home, and associations between place of death and pain, peace, and grief. Findings suggest that dying at home is better than hospital for peace and grief, but requires a discussion of preferences, GP home visits, and relatives to be given time off work.

Length of publication: 14 pages

 


Glasgow and Lothian Partnership Case Study: Getting people home with the support they need

October 7, 2015

Source: Marie Curie

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Date of publication: September 2015

Publication type: Case Study

In a nutshell: The Marie Curie Fast-track Service offers short day and evening visits at home to provide health and personal care to people living with a terminal illness in Glasgow and Lothian. The service is for people nearing the end of their lives who are at risk of admission as well as those in hospital needing more care before discharge.

Length of publication: 2 pages

 


Carmarthenshire Partnership Case Study: A flexible service tailored to patients’ needs

October 7, 2015

Source: Marie Curie

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Date of publication: September 2015

Publication type: Case Study

In a nutshell: Marie Curie is delivering a tailored, flexible multi-visit service in Carmarthenshire to meet the needs of patients, their families and carers. Marie Curie set up a multi-visit service model, delivered by Healthcare Assistants, coordinated by Senior Nurses and supported by Registered Nurses. This also included an out-of-hours service.

Length of publication: 2 page


Ealing and Hounslow Partnership Case Study: Responsive support out-of-hours

October 7, 2015

Source: Marie Curie

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Date of publication: September 2015

Publication type: Case Study

In a nutshell: The Rapid Response Service provides high-quality, flexible palliative and end of life care across Ealing and Hounslow. Marie Curie Registered Nurses and Healthcare Assistants work closely with the London Ambulance Service in both boroughs. They assess if calls should go to the Rapid Response Service or not, preventing unnecessary hospital admissions.

Length of publication: 2 pages