What do we know now that we didn’t know a year ago? New intelligence on end of life care in England

May 23, 2012

Source: National End of Life Care Programme

Follow this link for fulltext.

Date of publication:  May 2012

Publication type:  Report

In a nutshell: This report highlights the progress made in the implementation of the Department of Health’s End of Life Care Strategy and identifies the successes of the programme as well as those areas that need improvement. The report consists of 16 categories including:

  • place of care and death
  • latest trends in different settings
  • disease types
  • costs
  • quality of care
  • workforce and public attitudes

Examples of areas for improvement highlighted by the report include unplanned emergency care and advance care planning with a view to improve the experience of patients and their families but also to deliver more cost-effective care.

Length of publication: 28 pages

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End-of-life preferences in advanced cancer patients willing to discuss issues surrounding their terminal condition

April 24, 2012

Source: European Journal of Cancer Care

Follow this link for the abstract

Date of publication: April 2012

Publication type: Article

In a nutshell: The aim of the study is to describe end-of-life preferences of advanced cancer patients willing to talk about death issues. Eighty-eight advanced cancer patients were interviewed through End of Life Preferences Interview (ELPI), a 23-item interview covering a wide range of end-of-life care issues. Most interviewed subjects were home care patients. The article concludes that ELPI can be a useful instrument to adapt the model of care to the specific needs and values of each patient.

Some important notes: This article is only available online at present. For assistance in obtaining a copy of this article, please contact your local NHS Library. Follow this link to find your local NHS Library.

 


A narrative literature review of the evidence regarding the economic impact of avoidable hospitalizations amongst palliative care patients in the UK

December 29, 2011

Source:  Progress in Palliative Care, 19, (6), p291-298.

Follow this link for abstract.   

 Date of publication:  November 2011

Publication type:  article

In a nutshell:  This article provides a narrative review of evidence relating to the potential economic impact of reducing avoidable admissions among palliative care patients in the UK.  A search for evidence on the economic consequences of avoidable hospital admissions among palliative care patients was conducted, and five studies met the inclusion criteria.  The limited evidence showed that avoidable readmission rates are high. The full economic consequences of reducing readmissions however, has not been addressed.  The authors call for more evidence with a focus on the economic implications for community care versus acute care.

Length of publication:  8 pages

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.

Acknowledgement:  EMBASE


Achieving the preferred place of care for hospitalized patients at the end of life

May 27, 2011

Source: Palliative Medicine June 2011 v.25(4) p333-336

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Date: June 2011

Publication type: Article

Publication length: 4 pages

In a nutshell: The Department of Health end-of-life strategy contains a number of quality markers which include taking into account patients’ wishes for their final place of care. An audit was conducted on discussion of preferred place of care (PPC) for all patients referred to the hospital palliative care team who died during the audit period. The data highlighted the need to distinguish between preferred place of care and preferred place of death. Patients’ wishes regarding PPC change as death approaches. A greater number of patients wished to die in hospital than was expected.

Some important notes: Contact your local health library for a copy of this article. Follow this link to find your local health library.


Advance care planning ensures patient choice on place of death

November 17, 2010

Source: Nursing Times, October 2010, 106(40) p8

Follow this link for the fulltext article.

Publication type: Article

In a nutshell: Comments about the role of advance care planning in ensuring that patients’ wishes regarding the place of their end-of-life care and death are respected. The success of Preferred Priorities for Care in NHS West Essex PCT is discussed.

Length of publication: 1 page

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


The Government’s eight-point plan for improving end-of-life care

November 17, 2010

Source: British Journal of Nursing, 2010, 19(18) p1194-6

Follow this link for the fulltext article

Date of publication: October 2010

Publication type: Article

In a nutshell: Following recommendations made in the Department of Health’s 2nd annual report of the ‘End of life care strategy’ (2010). This article evaluates of the use of personal health budgets, changing public opinion towards death, delivery of care in the last days of life, care in different settings and other measures to improve care for people who are dying.

Length of publication: 3 pages

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


Hospital nurses should be ‘systematic’ about end-of-life care

July 1, 2010

Title: Hospital nurses should be ‘systematic’ about end-of-life care

Source: www.nursingtimes.net

Date of Publication: June 2010

Publication type: Web article

In a nutshell: This article reports on the DH suggestion that hospital nurses needs to adopt a systematic approach  in helping patients choose where they die. John Ellershaw DH national deputy director for End of Life Care told Nursing Times that nurses should be taking a more active role in advanced care planning and rapid discharge from hospital. Comments were made in light of the recent DH guidance on End of Life Care. The guidance highlights a nurse led tool being piloted at London’s Guy’s and St Thomas’s Foundation Trust. The AMBER care bundle has enabled 78 per cent of patients to die in their place of choice since the pilot began in January.

Some important notes: Follow this link to read the press release about the AMBER care bundle