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death dying and reflective practice

https://read.qxmd.com/read/37667653/overcoming-the-barriers-to-optimal-end-of-life-care-in-the-emergency-department
#21
JOURNAL ARTICLE
Kay McCallum
The focus of care in the emergency department (ED) is on saving or sustaining life, but some patients admitted to the ED die in the ED. Nurses whose focus is on saving lives may therefore find themselves providing end of life care to patients and their families in a stressful and distressing environment. Providing optimal end of life care involves reflecting on what a good death looks like and how patients can be supported to have a good death. This article describes the barriers to optimal end of life care in the ED and prompts nurses to think about how they can enhance their practice when caring for dying patients and their families...
September 5, 2023: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://read.qxmd.com/read/37654731/reflecting-on-choices-and-responsibility-in-palliative-care-in-the-context-of-social-disadvantage
#22
REVIEW
Maddy French, Lorraine Hansford, Tess Moeke-Maxwell
There is a need to understand how to improve palliative care provision for people impacted by social inequity. Social inequity, such as that related to socioeconomic circumstances, has profound impacts on experiences of death and dying, posing personal and professional challenges for frontline professionals tasked to ensure that everyone receives the best standard of care at the end of their lives. Recent research has highlighted an urgent need to find ways of supporting healthcare professionals to acknowledge and unpack some of the challenges experienced when trying to deliver equitable palliative care...
2023: Palliative care and social practice
https://read.qxmd.com/read/37585258/teaching-palliative-care-to-emergency-medicine-residents-using-gamified-deliberate-practice-based-simulation-palliative-gaming-simulation-study
#23
JOURNAL ARTICLE
Jessica Stanich, Kharmene Sunga, Caitlin Loprinzi-Brauer, Alexander Ginsburg, Cory Ingram, Fernanda Bellolio, Daniel Cabrera
BACKGROUND: Emergency departments (EDs) care for many patients nearing the end of life with advanced serious illnesses. Simulation training offers an opportunity to teach physicians the interpersonal skills required to manage end-of-life care. OBJECTIVE: We hypothesized a gaming simulation of an imminently dying patient using the LIVE. DIE. REPEAT (LDR) format, would be perceived as an effective method to teach end-of-life communication and palliative care management skills...
August 16, 2023: JMIR Medical Education
https://read.qxmd.com/read/37582089/care-and-support-when-a-baby-is-stillborn-a-systematic-review-and-an-interpretive-meta-synthesis-of-qualitative-studies-in-high-income-countries
#24
JOURNAL ARTICLE
Margareta Persson, Ingegerd Hildingsson, Monica Hultcrantz, Maja Kärrman Fredriksson, Nathalie Peira, Rebecca A Silverstein, Josefin Sveen, Carina Berterö
INTRODUCTION: Approximately 2 million babies are stillborn annually worldwide, most in low- and middle-income countries. Present review studies of the parental and healthcare providers' experiences of stillbirth often include a variety of settings, which may skew the findings as the available resources can vary considerably. In high-income countries, the prevalence of stillbirth is low, and support programs are often initiated immediately when a baby with no signs of life is detected...
2023: PloS One
https://read.qxmd.com/read/37575440/advancing-the-study-of-life-and-death-education-theoretical-framework-and-research-inquiries-for-further-development
#25
REVIEW
Huy P Phan, Si-Chi Chen, Bing H Ngu, Chao-Sheng Hsu
Life and death education , also known as life education and death education , is an interesting subject that may coincide with the subject of lifespan development. In brief, from our theoretical perspective, which guides our teaching and curriculum development, life education considers personal understanding of life functioning on a daily basis, whereas death education explores matters that are related to death and dying. For example, how can a social worker utilize his life knowledge, or life wisdom, to assist a relative to understand the intricate nature of death? In a similar vein, how can a senior citizen use her personal experience of Buddhist meditation practice to overcome a minor Covid setback? Central to our teaching practice is the premise of 'active transformation' (i...
2023: Frontiers in Psychology
https://read.qxmd.com/read/37556727/remdesivir-reduced-mortality-in-immunocompromised-patients-hospitalized-for-covid-19-across-variant-waves-findings-from-routine-clinical-practice
#26
JOURNAL ARTICLE
Essy Mozaffari, Aastha Chandak, Robert L Gottlieb, Chidinma Chima-Melton, Stephanie H Read, Heng Jiang, Mel Chiang, EunYoung Lee, Rikisha Gupta, Mark Berry, Andre C Kalil
BACKGROUND: Immunocompromised patients are at high risk of severe COVID-19 and death, yet treatment strategies for immunocompromised patients hospitalized for COVID-19 reflect variations in clinical practice. This comparative effectiveness study investigated the effect of remdesivir treatment on inpatient mortality among immunocompromised patients hospitalized for COVID-19 across all variants of concern (VOC) periods. METHODS: Data for immunocompromised patients hospitalized for COVID-19 between December 2020 and April 2022 were extracted from the US PINC AI Healthcare Database...
August 9, 2023: Clinical Infectious Diseases
https://read.qxmd.com/read/37535255/voluntary-assisted-dying-euthanasia-will-this-have-an-impact-on-cancer-care-in-future-years
#27
REVIEW
Jennifer Philip, Brian Le, Camille Le Brooy, Ian Olver, Ian Kerridge, Paul Komesaroff
In considering the impact of medically hastened death (MHD) on cancer care, a wide range of variables needs to be considered including demographic factors, diagnoses, local cultural factors, and the legislative frameworks in place. Here, we present a synthesis of recently available published literature and empirical data collected following legislative change to enable MHD in Victoria, Australia to explore in detail the potential impact of MHD on cancer care with a focus on patients/families and professional groups...
August 3, 2023: Current Treatment Options in Oncology
https://read.qxmd.com/read/37407969/the-dignity-of-terminally-ill-children-in-pediatric-palliative-care-perspectives-of-parents-and-healthcare-providers
#28
JOURNAL ARTICLE
Siyu Cai, Qiaohong Guo, Junyi Lin, Chanjuan Deng, Huijun Li, Xuan Zhou
BACKGROUND: The Chochinov Dignity Model was developed based on a cohort of adult patients with advanced cancer, but its role among dying children is not clear. This study aims to develop a model of dignity for children receiving pediatric palliative care based on the Chochinov Dignity Model. METHODS: This is a descriptive qualitative study. Participants included a total of 11 parents and 14 healthcare providers who were recruited from a tertiary children's hospital in Beijing and the Pediatric Palliative Care Subspecialty Group of the Pediatrics Society of the Chinese Medical Association using purposive sampling...
July 5, 2023: BMC Palliative Care
https://read.qxmd.com/read/37359147/existential-loneliness-among-older-people-from-the-perspective-of-health-care-professionals-a-european-multicenter-study
#29
JOURNAL ARTICLE
Anna-Karin Edberg, Giusy Trogu, Alessandra Manattini, Agnieszka Renn-Żurek, Daria Maria Modrzejewska, Elżbieta Barbara Woźnicka, Silvia Popovici, Liliana Pintilie, Ingela Beck, Akvilė Virbalienė, Aurelija Šiurienė
INTRODUCTION: Health care professionals (HCPs) encounter different forms of loneliness in their work. It is essential that they have the courage, skills, and tools to deal with loneliness, in particular with existential loneliness (EL) which relates to meaning in life and the fundamentals of living and dying. AIM: The aim of this study was to investigate HCPs' views on loneliness among older people and their understanding, perception, and professional experience of EL in older people...
2023: Psychology Research and Behavior Management
https://read.qxmd.com/read/37239100/prognostic-value-of-spot-urinary-creatinine-concentration-and-its-relationship-with-body-composition-parameters-in-hf-patients
#30
JOURNAL ARTICLE
Jolanta Malinowska-Borowska, Małgorzata Piecuch, Patryk Szlacheta, Aleksandra Kulik, Jacek Niedziela, Jolanta Urszula Nowak, Łukasz Pyka, Mariusz Gąsior, Piotr Rozentryt
BACKGROUND: Low 24-h urinary excretion of creatinine in patients with heart failure (HF) is believed to reflect muscle wasting and is associated with a poor prognosis. Recently, spot urinary creatinine concentration (SUCR) has been suggested as a useful prognostic factor in selected HF cohorts. This more practical and cheaper approach has never been tested in an unselected HF population. Moreover, neither the relation between SUCR and body composition markers nor the association of SUCR with the markers of volume overload, which are known to worsen clinical outcome, has been studied so far...
May 12, 2023: Biomedicines
https://read.qxmd.com/read/37195676/effect-of-an-emergency-department-process-improvement-package-on-suicide-prevention-the-ed-safe-2-cluster-randomized-clinical-trial
#31
RANDOMIZED CONTROLLED TRIAL
Edwin D Boudreaux, Celine Larkin, Ana Vallejo Sefair, Yunsheng Ma, You Fu Li, Ameer F Ibrahim, Wesley Zeger, Gregory K Brown, Lori Pelletier, Ivan Miller
IMPORTANCE: Suicide is a leading cause of deaths in the US. Although the emergency department (ED) is an opportune setting, ED-initiated interventions remain underdeveloped and understudied. OBJECTIVE: To determine if an ED process improvement package, with a subfocus on improving the implementation of collaborative safety planning, reduces subsequent suicide-related behaviors. DESIGN, SETTING, AND PARTICIPANTS: The Emergency Department Safety Assessment and Follow-up Evaluation 2 (ED-SAFE 2) trial, a stepped-wedge cluster randomized clinical trial conducted in 8 EDs across the US, used an interrupted time series design with three 12-month sequential phases: baseline, implementation, and maintenance...
July 1, 2023: JAMA Psychiatry
https://read.qxmd.com/read/37122969/-to-be-or-not-to-be-cardiopulmonary-resuscitation-for-hospitalized-people-who-have-a-low-probability-of-benefit-qualitative-analysis-of-semi-structured-interviews
#32
JOURNAL ARTICLE
Daniel Kobewka, Yasmin Lalani, Victoria Shaffer, Tolulope Adewole, Kiefer Lypka, Pete Wegier
PURPOSE: Our aim was to understand the decision making of patients in hospital who wanted cardiopulmonary resuscitation despite low probability of benefit. METHODS: We included patients admitted to general medical wards who had a low chance of surviving in-hospital cardiopulmonary resuscitation (CPR) and had an order in the chart to administer CPR. We developed an interview guide to explore participants' decision-making process, sources of information, and emotions associated with this decision...
2023: MDM Policy & Practice
https://read.qxmd.com/read/37032463/reflections-on-the-relational-ontology-of-medical-assistance-in-dying
#33
JOURNAL ARTICLE
Barbara Pesut, Sally Thorne
Canadian nursing practice has been profoundly influenced by the legalization of medical assistance in dying in 2016, requiring that nurses navigate new and sometimes highly challenging experiences. Findings from our longitudinal studies of nurses' experiences suggest that these include deep emotional responses to medical assistance in dying, an urgency in orchestrating the perfect death, and a high degree of relational impact, both professionally and personally. Here we propose a theoretical explanation for these experiences based upon a relational ontology...
April 9, 2023: Nursing Philosophy: An International Journal for Healthcare Professionals
https://read.qxmd.com/read/37024426/cultural-considerations-at-end-of-life-for-people-of-culturally-and-linguistically-diverse-backgrounds-a-critical-interpretative-synthesis
#34
REVIEW
Elizabeth Lambert, Karen Strickland, Jo Gibson
PURPOSE/AIM: To establish cultural considerations for people from culturally or linguistically diverse backgrounds at the end-of-life in Australia. BACKGROUND: Globally, there is a rapidly increasing proportion of the ageing population, and high levels of migration to Australia, the Australian healthcare community must recognise individualised and cultural needs when approaching death and end-of-life care. Many people from culturally and linguistically diverse backgrounds do not traditionally practice the palliative care approaches that have been developed and practised in Australia...
April 6, 2023: Journal of Clinical Nursing
https://read.qxmd.com/read/36971479/good-death-disrupted-nurses-moral-emotions-navigating-clinical-and-public-health-ethics-during-the-first-wave-of-covid-19-pandemic
#35
JOURNAL ARTICLE
Rebecca Mowat, Catherine Cook, Marie K Chapman, Matt Roskruge
AIM: To explore the moral emotions that frontline nurses navigated in endeavouring to ensure a 'good death' for hospital patients and care home residents during the first wave of the COVID-19 pandemic. BACKGROUND: Under normal circumstances, frontline staff are focused on clinical ethics, which foreground what is best for individuals and families. Public health crises such as a pandemic require staff to adapt rapidly to focus on what benefits communities, at times compromising individual well-being and autonomy...
March 27, 2023: Journal of Clinical Nursing
https://read.qxmd.com/read/36907845/the-longitudinal-patterns-of-psychotropic-drug-prescriptions-for-subpopulations-of-community-dwelling-older-people-with-dementia-electronic-health-records-based-retrospective-study
#36
JOURNAL ARTICLE
Jiamin Du, Sarah I M Janus, Michiel de Boer, Sytse U Zuidema
BACKGROUND: Studies focusing on patterns of psychotropic drug prescriptions (PDPs) for subpopulations of community-dwelling older people with dementia are lacking. OBJECTIVE: The aim of this study was to identify the longitudinal patterns of PDPs in subpopulations. METHODS: This retrospective study used electronic health records from general practitioners (GPs) in the Netherlands. People (N = 1278) firstly diagnosed with dementia between 2013 and 2015, aged 65 years or older, were selected and categorized into four subpopulations: community-dwelling (CD) group throughout follow-up, ultimately admitted to nursing homes (NH) group, ultimately died (DIE) group, and ultimately deregistered for unclear reasons (DeR) group...
March 13, 2023: BMC Prim Care
https://read.qxmd.com/read/36809154/living-with-dementia-why-i-am-thinking-of-death
#37
JOURNAL ARTICLE
Xiubin Zhang, Charlotte Clarke, Rong Ding
BACKGROUND AND AIMS: Dementia is recognized globally as a massive burden on public health and wider society. It is a major cause of disability and mortality amongst older people. China has the largest population of people with dementia worldwide, accounting for approximately 25% of the entire global population of people with dementia. The study investigated the perceived experiences of care giving and care receiving in China, with one area identified in the data concerning the extent to which the participants discussed death...
February 21, 2023: Dementia
https://read.qxmd.com/read/36726061/soft-to-the-touch
#38
JOURNAL ARTICLE
Sarah Harvin
I had my first very close encounter with a dead body when I was working as a nursing assistant in a local hospital. As we readied the body for the family, I was struck by how this body defied all of my expectations of how dead bodies were supposed to behave. The skin was soft, warm, and supple. Blood continued to rush, and then eventually merely weep, from injection sites, the coagulation cascade still diligently at work. More than anything, I was fascinated by my surprise. In the context of Western medicine, death has been so pervasively medicalized that many, if not most, people will die in hospitals or medical care facilities...
November 2022: Health Promotion Practice
https://read.qxmd.com/read/36726058/wifi-in-the-woods
#39
JOURNAL ARTICLE
Shanaé R Burch
Nearly 170,000 people die in the world daily-estimating to about 60 million individuals a year. This number is abstract until you ask the mourners, identify the mourning, and become one who mourns while trying to live. So, where is the grief education? Where is the initiative in the public health sphere to not simply teach "How to Mourn" but "How To Go on Loving?" Where is the health policy that protects the time scientists say we need to grieve? There are a number of people at this moment grieving as you read this-perhaps even you...
November 2022: Health Promotion Practice
https://read.qxmd.com/read/36724414/early-bereavement-psychosocial-outcomes-in-parents-of-children-who-died-of-cancer-with-a-focus-on-social-functioning
#40
JOURNAL ARTICLE
Jennifer M Snaman, Emanuele Mazzola, Gabrielle Helton, Deborah Feifer, Sue E Morris, Lisa Clark, Justin N Baker, Joanne Wolfe
PURPOSE: The early grief experience of parents of children who died of cancer remains understudied. Understanding psychosocial symptomology and functioning of parents early in their bereavement is essential to developing supportive interventions aimed at offsetting poor mental and physical outcomes. METHODS: Parents of children from two centers who died of cancer 6 to 24 months before were mailed a survey that included validated tools and additional Likert scale-based questions...
February 1, 2023: JCO oncology practice
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