Doctors call for relaxation of ‘Shipman’ end-of-life drugs rules
Palliative care treatments delayed by regulations and supply shortages
CONCLUSION: palliative stenting for gastroduodenal obstruction is a safe, feasible and effective therapy to treat patients with malignant gastric outlet obstruction. PMID: 32496109 [PubMed - as supplied by publisher]
This case series examines the clinical characteristics and outcomes of patients who received intervention by a novel coronavirus disease 2019 palliative care response team, focused on providing high-quality goals-of-care conversations in time-critical situations.
Authors: Dilalla V, Chaput G, Williams T, Sultanem K Abstract The Canadian Cancer Society estimated that 220,400 new cases of cancer would be diagnosed in 2019. Of the affected patients, more than 60% will survive for 5 years or longer after their cancer diagnosis. Furthermore, nearly 40% will receive at least 1 course of radiotherapy (rt). Radiotherapy is used with both curative and palliative intent: to treat early-stage or locally advanced tumours (curative) and for symptom management in advanced disease (palliative). It can be delivered systemically (external-beam rt) or internally (brachytherapy). Although tec...
Conclusions: The elcss-ql is feasible as a tool for use in routine clinical practice, although no statistically significant effect of its use was demonstrated in our study. Improving access to supportive care through the collection of patient-reported outcomes and hrqol should be an important component of care for patients with advanced lung cancer. PMID: 32489264 [PubMed - in process]
The objective of this qualitative sub-study was to (1) understand older adults' use of an ACP patient portal section and (2) obtain user-design input on AD documentation features. Although some older adults may be reluctant, participants reported likely to use a portal for ADs with proper portal design and support. PMID: 32482160 [PubMed - as supplied by publisher]
The provision of palliative care to patients, families and communities is core to the role and identity of primary care physicians. General practitioners (GPs) or family physicians (FPs), and community nurses, have the potential and skills to deliver palliative and end-of-life care integrated into every encounter in the community when their working environment allows this, and with the support of specialist colleagues. Prior to the COVID-19 pandemic, barriers to effective palliative and end of life care in the community by GPs included a lack of time with patients and families, inadequate support services in the community,...
Conditions: Hope; Spirituality; Palliative Care Intervention: Other: Nursing care based on the Theory of Human Caring Sponsor: Ondokuz Mayıs University Completed
Condition: Cholangiocarcinoma Intervention: Other: early palliative care Sponsor: Central Hospital, Nancy, France Not yet recruiting
Conditions: Palliative Care; Critical Illness; Aging; Care Delivery Model; Informal Caregivers; Psychological Distress Intervention: Behavioral: PCplanner Sponsors: Duke University; National Institute on Aging (NIA) Not yet recruiting
Conditions: Metastatic Colon Cancer; Surgery Interventions: Procedure: resection of primary tumor; Drug: XELOX; Drug: mFOLFOX6 Sponsor: Fudan University Recruiting