Introduction. Most patients with a deteriorating chronic illness have a reduced oral intake at the end of life. This may be due to illness or treatment-related symptoms or complications, such as dysphagia, nausea or vomiting, generalised weakness and, in the last days of life, to a decreased level of consciousness or a loss of desire to drink.1 2 …

Research priorities for palliative and end of life care 12th February 2025, 10:00AM–12:00PM OP-19 JAMES LIND ALLIANCE PRIORITY SETTING: SOCIAL SCIENCE AND HUMANITIES PERSPECTIVES 1John MacArtney, 2Mari Greenfield, 3Briony Hudson, 2Erica Borgstrom. 1University of Warwick, UK; 2Open University, UK; 3Marie …

2024年12月13日 · Objective Fan therapy is widely acknowledged as an essential component in the management of dyspnoea with numerous studies supporting its efficacy in alleviating dyspnoea among patients with chronic illnesses. However, there is limited evidence regarding the effectiveness of fan therapy in reducing dyspnoea in patients with respiratory failure undergoing continuous oxygen therapy. This study ...

1 天前 · BMJ Supportive & Palliative Care holds an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. The Journal is …

Objectives To investigate the efficacy and safety of subcutaneous clonidine for refractory symptoms in the palliative setting. Methods A retrospective chart review of the use of subcutaneous clonidine in a single palliative care centre. We reviewed the use of clonidine since it was introduced in our locality 2½ years ago. All clinical …

Background Schwartz Rounds (SR) are structured group reflective forums which provide an opportunity for staff across all disciplines to share and reflect on emotional aspects of their work, supporting a humanised health care system (Point of Care Foundation. Impact report 2023: How we supported a more humanised health care system in 2023. 2024). The purpose of SR is to explore, through ...

Background It is known that shared advance care plans (ACPs) increase preferred place of care achievement and reduce emergency hospital attendances (The Gold Standards Framework. Attainments of the first 10 GSF accredited GP practices). There is little information regarding the quality of ACPs (including Treatment Escalation Plans, TEPs) and their effect on patient outcomes. This was confirmed ...

Chronic breathlessness is a disabling and distressing condition for which there is a growing evidence base for a range of interventions. Non-pharmacological interventions are the mainstay of management and should be optimised prior to use of opioid medication. Opioids are being implemented variably in practice for chronic breathlessness. This narrative review summarises the evidence defining ...

2024年12月17日 · Background Liver cirrhosis (LC) is a progressive disease characterised by chronic liver inflammation, leading to diminished liver function and complex symptomatology. As LC advances to decompensated cirrhosis and end-stage liver disease (ESLD), patients experience severe symptoms such as pain, ascites and encephalopathy, significantly impairing their quality of life. Despite the high symptom ...

recognised potential benefits of grief education, the potential for causing distress was a key concern for many (58% and 45%, respectively, for primary/secondary schools).