keyword
https://read.qxmd.com/read/38547210/using-simulation-to-teach-nursing-students-how-to-deal-with-a-euthanasia-request
#1
JOURNAL ARTICLE
Dennis Demedts, Jürgen Magerman, Ellen Goossens, Sandra Tricas-Sauras, Johan Bilsen, Stefaan De Smet, Maaike Fobelets
Nursing students are confronted with euthanasia during their internship and certainly during their later career but they feel inadequately prepared in dealing with a euthanasia request. This study presents a simulation module focused on euthanasia and evaluates nursing students' perceptions after they have completed the simulation practice. The 'euthanasia module' consisted of a preparatory online learning module, a good-practice video, an in-vivo simulation scenario, and a debriefing session. The module's content was validated by four experts in end-of-life care...
2024: PloS One
https://read.qxmd.com/read/38546482/racial-differences-in-treatment-intensity-at-the-end-of-life-among-older-adults-with-heart-failure-evidence-from-the-health-and-retirement-study
#2
JOURNAL ARTICLE
Sara G McCleskey, Arturo Vargas Bustamante, Sangeeta C Ahluwalia, Teryl K Nuckols, Gerald F Kominski, Emmeline Chuang
Background: Black Americans experience the highest prevalence of heart failure (HF) and the worst clinical outcomes of any racial or ethnic group, but little is known about end-of-life care for this population. Objective: Compare treatment intensity between Black and White older adults with HF near the end of life. Design: Negative binomial and logistic regression analyses of pooled, cross-sectional data from the Health and Retirement Study (HRS). Setting/Subjects: A total of 1607 U.S. adults aged 65 years and older with HF who identify as Black or White, and whose proxy informant participated in an HRS exit interview between 2002 and 2016...
March 28, 2024: Journal of Palliative Medicine
https://read.qxmd.com/read/38545089/the-rise-of-home-death-in-the-covid-19-pandemic-a-population-based-study-of-death-certificate-data-for-adults-from-32-countries-2012-2021
#3
JOURNAL ARTICLE
Sílvia Lopes, Andrea Bruno de Sousa, Mayra Delalibera, Elizabeth Namukwaya, Joachim Cohen, Barbara Gomes
BACKGROUND: During the coronavirus 2019 disease (COVID-19) pandemic, health systems had to respond to the needs of COVID-19 patients, while caring for patients with other life-threatening conditions. Pandemics, such as the COVID-19 pandemic, stir global health and mortality patterns. This is likely to include trends in dying places. In this paper, we examine trends in place of death for adults in 32 countries, comparing the initial COVID-19 pandemic years (2020-2021) with the eight years before the pandemic (2012-2019)...
February 2024: EClinicalMedicine
https://read.qxmd.com/read/38544325/a-qualitative-exploration-of-the-role-of-a-palliative-care-pharmacist-providing-home-based-care-in-the-rural-setting-from-the-perspective-of-health-care-professionals
#4
JOURNAL ARTICLE
Natasha J Downing, Gemma Skaczkowski, Donna Hughes-Barton, Helen Stone, Leah Robinson, Kate M Gunn
INTRODUCTION: Pharmacists are often not recognised as a core part of palliative care teams, despite their ideal placement to assist with the burden of medication management. OBJECTIVE: This study explored the role of pharmacists working in the rural palliative care team, in the home-based setting. DESIGN: Health care professionals working with palliative care patients in rural South Australia participated in semi-structured interviews. Data were analysed using thematic analysis...
March 27, 2024: Australian Journal of Rural Health
https://read.qxmd.com/read/38544317/assessing-for-differences-in-opioid-administration-during-inpatient-end-of-life-care-for-patients-with-limited-english-proficiency
#5
JOURNAL ARTICLE
Nicole Curatola, Priya Prasad, Brieze K Bell, Margaret C Fang, Aksharananda Rambachan
BACKGROUND: Patients with limited English proficiency (LEP) may have worse health outcomes and differences in processes of care. Language status may particularly affect situations that depend on communication, such as symptom management or end-of-life (EOL) care. OBJECTIVE: The objective of this study was to assess whether opioid prescribing and administration differs by English proficiency (EP) status among hospitalized patients receiving EOL care. METHODS: This single-center retrospective study identified all adult patients receiving "comfort care" on the general medicine service from January 2013 to September 2021...
March 27, 2024: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/38544314/hospice-providers-serving-assisted-living-residents-association-of-higher-volume-with-lower-quality
#6
JOURNAL ARTICLE
Wenhan Guo, Helena Temkin-Greener, Brian E McGarry
BACKGROUND: Assisted living (AL) community caregivers are known to report lower quality of hospice care. However, little is known about hospice providers serving AL residents and factors that may contribute to, and explain, differences in quality. We examined the association between hospice providers' AL patient-day volume and their quality ratings based on Hospice Item Set (HIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Surveys. METHODS: This cross-sectional study employed information from the Medicare Compare website and Medicare claims data...
March 27, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38541060/opioids-in-treatment-of-refractory-dyspnea-in-chronic-obstructive-pulmonary-disease-yes-no-or-maybe
#7
REVIEW
Ruxandra-Mioara Rajnoveanu, Antonia Harangus, Doina Adina Todea, Milena Adina Man, Corina Eugenia Budin, Armand-Gabriel Rajnoveanu
Chronic Obstructive Pulmonary Disease (COPD) is a complex condition with significant impact on prognosis, especially in advanced stages where symptom burden becomes critical. Breathlessness affects patients' quality of life, and despite various therapeutic strategies, the role of opioids in palliative care for COPD remains under investigation. The acceptance of a therapeutic trial of different types of opioids is increasing not only in end-of-life situations but also for stable COPD patients experiencing intolerable refractory breathlessness despite optimal conventional therapy...
March 19, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38540590/attitude-of-the-lithuanian-public-toward-medical-assistance-in-dying-a-cross-sectional-study
#8
JOURNAL ARTICLE
Benedikt Bachmetjev, Artur Airapetian, Rolandas Zablockis
Euthanasia and assisted suicide, involving the intentional termination of a patient's life, are subjects of global debate influenced by cultural, ethical, and religious beliefs. This study explored the attitudes of the general public toward euthanasia, finding varying levels of support. A cross-sectional study was conducted. This research specifically evaluated the perspectives of 5804 Lithuanian residents using a survey distributed through social media, which presented medical scenarios on life-preserving interventions...
March 10, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38538498/limitation-of-life-support-treatments-in-spanish-intensive-care-units-analysis-of-the-ethicus-ii-study
#9
JOURNAL ARTICLE
Ángel Estella, Carolina Lagares, María José Furones, Pilar Martínez López, Noelia Isabel Lázaro Martín, Belén Estebánez, Jose Manuel Gómez García, Olga Rubio, Bárbara Vidal Tejedor, Laura Galarza, Manuel Palomo Navarro, Vicent López Camps, Mari Cruz Martín, Juan Carlos Montejo, Alexander Avidan, Charles Sprung
OBJECTIVE: The aim of this study is to describe the results of Spanish ICUs in ETHICUS II study. DESIGN: Planned substudy of patients from ETHICUS II study. SETTING: 12 Spanish ICU. PATIENTS OR PARTICIPANTS: Patients admitted to Spanish ICU who died or in whom a limitation of life-sustaining treatment (LLST) was decided during a recruitment period of 6 months. INTERVENTIONS: Follow-up of patients was performed until discharge from the ICU and 2 months after the decision of LLST or death...
March 26, 2024: Medicina intensiva
https://read.qxmd.com/read/38538066/expanding-the-use-of-continuous-sedation-until-death-and-physician-assisted-suicide
#10
JOURNAL ARTICLE
Samuel H Lipuma, Joseph P Demarco
The controversy over the equivalence of continuous sedation until death (CSD) and physician-assisted suicide/euthanasia (PAS/E) provides an opportunity to focus on a significant extended use of CSD. This extension, suggested by the equivalence of PAS/E and CSD, is designed to promote additional patient autonomy at the end-of-life. Samuel LiPuma, in his article, "Continuous Sedation Until Death as Physician-Assisted Suicide/Euthanasia: A Conceptual Analysis" claims equivalence between CSD and death; his paper is seminal in the equivalency debate...
March 27, 2024: Journal of Medicine and Philosophy
https://read.qxmd.com/read/38538036/ethical-dilemmas-for-palliative-care-nurses-systematic-review
#11
REVIEW
Shuwan Geng, Lei Zhang, Quan Zhang, Yijin Wu
BACKGROUND: Nurses play a unique and critical role in palliative care, and it is noteworthy that nurses often encounter ethical dilemmas in this field. OBJECTIVE: This review aims to conduct a summarised synthesis of the latest research on the ethical considerations nurses faced in palliative care. METHODS: We conducted a rigorous systematic review of relevant existing studies published in high-quality English peer-reviewed journals from January 2017 to July 2023...
March 27, 2024: BMJ Supportive & Palliative Care
https://read.qxmd.com/read/38538034/new-quality-outcome-indicators-for-bone-metastases-expert-consensus-analysis-of-patients-their-families-and-specialist-healthcare-professionals
#12
JOURNAL ARTICLE
Samantha Downie, Hasnain Chohan, Lauren Ross, Conor McCann, Peter Hall, Alison Stillie, Matthew Moran, Cathie Sudlow, A Hamish Rw Simpson
OBJECTIVES: As workload increases, surgical care for patients with bone metastases is increasingly decentralised, with a shift in management away from primary bone tumour units to local centres. We must ensure that patients have similar outcomes regardless of where they receive their treatment. The aim was to develop and validate a set of quality outcome indicators (QOIs) to evaluate treatment success for patients undergoing surgery for bone metastases. METHODS: Outcome recommendations were adapted from the literature and field tested in a retrospective patient cohort to determine feasibility...
March 27, 2024: BMJ Supportive & Palliative Care
https://read.qxmd.com/read/38537649/advance-care-planning-in-the-context-of-dementia-defining-concordance
#13
JOURNAL ARTICLE
Jordana L Clayton, Katherine P Supiano, Nancy Aruscavage, Sara Bybee, Rebecca L Utz, Eli Iacob, Kara B Dassel
BACKGROUND AND OBJECTIVES: Individuals with dementia may require a surrogate decision-maker as their disease progresses. To prepare for this potential role, dementia care partners need to develop a thorough understanding of their care recipient's end-of-life values and preferences, or care dyad ACP concordance. As part of our pilot study implementing the LEAD intervention with dementia care dyads, we conducted a multi-method investigation to define care dyad ACP concordance. RESEARCH DESIGN AND METHODS: We conducted a scoping review of peer-reviewed studies published after 1991 in English focusing on care dyad ACP concordance in dementia care and included 34 articles...
March 27, 2024: Gerontologist
https://read.qxmd.com/read/38536997/portuguese-advance-directives-a-twist-against-futility-a-cross-sectional-study
#14
JOURNAL ARTICLE
Catarina Sampaio Martins, Rui Nunes
BACKGROUND: Advance Directive documents allow citizens to choose the treatments they want for end-of-life care without considering therapeutic futility. OBJECTIVES: To analyze patients' and caregivers' answers to Advance Directives and understand their expectations regarding their decisions. DESIGN AND SETTING: This study analyzed participants' answers to a previously published trial, conceived to test the document's efficacy as a communication tool...
2024: São Paulo Medical Journal
https://read.qxmd.com/read/38536732/new-graduate-nurses-approaches-to-death-and-dying-patients-and-the-relationship-between-death-anxiety-and-death-awareness-a-cross-sectional-study
#15
JOURNAL ARTICLE
Merve Tarhan, Pinar Dogan
BACKGROUND: One of the challenges experienced by new graduate nurses during the transition into practice is caring for dying patients. This study aimed to determine new graduate nurses' approaches to death and dying patients and the relationship between death anxiety and death awareness. METHODS: This descriptive, cross-sectional study was conducted with 226 new graduate nurses in Istanbul, Türkiye. A personal and work environment characteristics form, the Approach to Death and Dying Patients Attitude Scale, Templer's Death Anxiety Scale, and Multidimensional Mortality Awareness Measure were used to collect data...
March 27, 2024: American Journal of Hospice & Palliative Care
https://read.qxmd.com/read/38534920/sex-based-analysis-of-quality-indicators-of-end-of-life-care-in-gastrointestinal-malignancies
#16
JOURNAL ARTICLE
Caitlin S Lees, Hsien Seow, Kelvin K W Chan, Anastasia Gayowsky, Shaila J Merchant, Aynharan Sinnarajah
Indices of aggressive or supportive end-of-life (EOL) care are used to evaluate health services quality. Disparities according to sex were previously described, with studies showing that male sex is associated with aggressive EOL care. This is a secondary analysis of 69,983 patients who died of a GI malignancy in Ontario between 2006 and 2018. Quality indices from the last 14-30 days of life and aggregate measures for aggressive and supportive EOL care were derived from administrative data. Hospitalizations, emergency department use, intensive care unit admissions, and receipt of chemotherapy were considered indices of aggressive care, while physician house call and palliative home care were considered indices of supportive care...
February 22, 2024: Current Oncology
https://read.qxmd.com/read/38529958/a-nurse-practitioner-driven-palliative-and-supportive-care-service-in-nursing-homes-evaluation-of-a-quality-improvement-project
#17
JOURNAL ARTICLE
Joan G Carpenter, Julianne Murthi, Molly Langford, Ruth Palan Lopez
This article describes a quality improvement project implemented by a national postacute long-term care organization aimed at enhancing the provision of palliative care to nursing home residents. The project focused on improving advance care planning, end-of-life care, symptom management, and care of people living with serious illness. Both generalist and specialist palliative care training were provided to nurse practitioners in addition to implementing a system to identify residents most likely to benefit from a palliative approach to care...
March 26, 2024: Journal of Hospice and Palliative Nursing: JHPN
https://read.qxmd.com/read/38528926/quantification-of-the-composition-of-pyrolysis-oils-of-complex-plastic-waste-by-gas-chromatography-coupled-with-mass-spectrometer-detector
#18
JOURNAL ARTICLE
A Serras-Malillos, B B Perez-Martinez, A Iriondo, E Acha, A Lopez-Urionabarrenechea, B M Caballero
Waste valorisation through pyrolysis generates solid, liquid and gaseous fractions that need to be deeply characterised in order to try to recover secondary raw materials or chemicals. Depending on the waste and the process conditions, the liquid fraction obtained (so-called pyrolysis oil) can be very complex. This work proposes a method to quantitatively measure the composition of pyrolysis oils coming from three types of polymeric waste: (1) plastic packaging from sorting plants of municipal solid waste, (2) plastic rich fractions rejected from sorting plants of waste of electrical and electronic equipment and (3) end-of-life carbon/glass fibre reinforced thermoset polymers...
March 20, 2024: RSC Advances
https://read.qxmd.com/read/38528276/attitudes-to-end-of-life-care-and-voluntary-assisted-dying-amongst-members-of-the-australian-jewish-community
#19
JOURNAL ARTICLE
Eli W Janover, Camille La Brooy, Jennifer Philip, Sophie Lewis, Ian Kerridge, Paul A Komesaroff
The implementation of voluntary assisted dying (VAD) in the Australian State of Victoria in 2019 has stimulated discussions about end-of-life care and dying in many communities. Various attempts have been made to represent the attitudes of the Jewish community, a distinct culturally and linguistically diverse (CALD) group, in terms that suggest a unified set of opinions that opposes VAD policies. This research aimed to explore attitudes to VAD in the context of end-of-life care held by members of the Victorian Jewish community...
March 25, 2024: Journal of Religion and Health
https://read.qxmd.com/read/38527907/exploring-the-role-of-palliative-care-occupational-therapists-in-supporting-compassionate-communities-in-end-of-life-care
#20
JOURNAL ARTICLE
Samantha Smith, Daniel Lowrie, Nathan Dawes
INTRODUCTION: The compassionate communities' movement is a public health approach to end-of-life care that emphasises the integral role of communities in supporting and caring for dying persons and their informal carers. Although occupational therapists have well-established roles in palliative care teams, little is known about their potential in assisting in the formation and maintenance of compassionate communities. METHOD: Data were gathered via semi-structured interviews with nine Australian occupational therapists with experience in specialist palliative care...
March 25, 2024: Australian Occupational Therapy Journal
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