David M. Greer, Sam D. Shemie, Ariane Lewis, Sylvia Torrance et al.
IMPORTANCE: There are inconsistencies in concept, criteria, practice, and documentation of brain death/death by neurologic criteria (BD/DNC) both internationally and within countries. OBJECTIVE: To formulate a consensus statement of recommendations on determination of BD/DNC based on review of the l...
Jason Phua, Gavin M. Joynt, Masaji Nishimura, Yiyun Deng et al.
IMPORTANCE: Little data exist on end-of-life care practices in intensive care units (ICUs) in Asia. OBJECTIVE: To describe physicians' attitudes toward withholding and withdrawal of life-sustaining treatments in end-of-life care and to evaluate factors associated with observed attitudes. DESIGN, SET...
Peter Hudson, Sheila Payne
The quality of life of the person confronting the end stages of their life may be severely compromised without the support of family caregivers. Indeed, most people requiring palliative care would not be able to fulfill their preferences, such as care at home, without significant family caregiver in...
Jennifer Tjia, Sarah J. Velten, Carole Parsons, Sruthi Valluri et al.
Background Overuse of unnecessary medications in frail older adults with limited life expectancy remains an understudied challenge. Objective To identify intervention studies that reduced use of unnecessary medications in frail older adults. A secondary goal was to identify and review studies focusi...
Daren K. Heyland, Elsie Konopad, Thomas Noseworthy, Richard Johnston et al.
Objective To compare the cost and consequences of a policy of continuing to care for patients with a prolonged stay in the ICU with a proposed policy of withdrawing support. Design Economic evaluation using data derived from a prospective cohort study. Setting Adult medical/surgical ICU in a tertiar...
Deb Feldman‐Stewart, Sarah Brennenstuhl, Kathryn McIssac, Joan Austoker et al.
OBJECTIVE: We completed a systematic review of information reported as included in decision aids (DAs) for adult patients, to determine if it is complete, balanced and accurate. SEARCH STRATEGY: DAs were identified using the Cochrane Database of DAs and searches of four electronic databases using th...
Jason Phua, Gavin M. Joynt, Masaji Nishimura, Yiyun Deng et al.
Purpose To compare the attitudes of physicians towards withholding and withdrawing life-sustaining treatments in intensive care units (ICUs) in low-middle-income Asian countries and regions with those in high-income ones, and to explore differences in the role of families and surrogates, legal risks...
Odette Spruyt
The aim of this paper is to describe the palliative care experience of Bangladeshi patients and carers in the Tower Hamlets area in the east of London. Semi-structured interviews were carried out in Sylheti, the Bengali dialect of this community, with bereaved primary carers of 18 patients (10 male,...
Tuti Nuraini, Andrijono Andrijono, Dewi Irawaty, Jahja Umar et al.
BACKGROUND: Palliative care is an approach that focuses on improving a patient's quality of life. This research aimed to develop a path model of the relationships between the variables of nursing care (information, emotional support, technical support, and palliative care), patient coping, family su...
Kathleen Montgomery, Kathleen J. Sawin, Verna L. Hendricks‐Ferguson
BACKGROUND: Communication between patients, families, and healthcare providers is a central component of end-of-life care. Nurse communication during palliative care (PC) and end of life (EOL) is a phenomenon with limited research. It is unclear how the level of nursing experience influences the per...
Lisa Barbera, Hsien Seow, Amna Husain, Doris Howell et al.
PURPOSE: The purpose of this study was to measure opioid prescription (OP) rates in elderly cancer outpatients around the time of assessment for pain and to evaluate factors associated with receiving OPs for those with severe pain. PATIENTS AND METHODS: The cross-sectional cohort includes all patien...
Sally L. Maliski, Linda Sarna, Lorraine S. Evangelista, Geraldine Padilla
Little is known about the experience of surviving lung cancer because of its low survival rate. However, 14% of the people with a diagnosis of lung cancer become long-term survivors. This study describes the experience of surviving lung cancer as told by a subsample of survivors from a larger quanti...
Yelson Alejandro Picón‐Jaimes, Ivan David Lozada‐Martínez, Javier Esteban Orozco-Chinome, Lina María Montaña-Gómez et al.
End-of-life care is an increasingly relevant topic due to advances in biomedical research and the establishment of new disciplines in evidence-based medicine and bioethics. Euthanasia and assisted suicide are two terms widely discussed in medicine, which cause displeasure on many occasions and cause...
Taranjit Singh, Richard Harding
BACKGROUND: The increasing incidence of cancer and chronic diseases in South Asia has created a growing public health and clinical need for palliative care in the region. As an emerging discipline with increasing coverage, palliative care must be guided by evidence. In order to appraise the state of...
Helen Gilmour, Faith Gibson, Jim Campbell
As the number of people with dementia is increasing alongside the social trend of a greater proportion of the population living on their own, this article seeks to explore a number of issues arising from these circumstances. It summarizes a qualitative study of ten people with dementia who live alon...