Tag: end-of-life care

1. The 3 Wishes Project (3WP), which strives to provide humanistic care and honor the dignity of end-of-life (EOL) patients, was shown to be valuable, transferable, affordable, and sustainable at one year follow-up. 2. In addition to patients and families, hospital staff also benefited from the program through improved camaraderie...
Eighty percent of patients with advanced or metastatic pancreatic adenocarcinoma are not candidates for surgical resection and require noncurative therapy, including multi-agent chemotherapy regimens, radiation therapy, nerve blocks and other symptomatic relief modalities. Despite having established benefits for patients, a large proportion of pancreatic adenocarcinoma patients are unable to...
1. Goals-of-care (GOC) discussions were linked to improved patient outcomes and reduction of intensity in end-of-life care. The current study demonstrated that a survey-based intervention for priming clinicians with communication strategies was linked to increase in the occurrence, documentation, and quality of GOC discussions. 2. The current study was not...
1. The most commonly reported parental hopes for critically ill children fell within the domains of quality of life, concerns regarding physical body, future well-being, and length of life. 2. Over a 20-month time period, domains showing the largest increases in parental hope reports included quality of life, future...
1. More intense interventions at the end-of-life for children with cancer was associated with a bimodal age distribution (children younger than 5 and older than 15) and with hematologic malignancies. 2. African American, Asian American, and Hispanic children were more likely to die in the hospital, a marker of higher...
1. Among patients older than 65 years of age who died with cancer in 2010, rates of end-of-life acute hospitalization differ widely across several developed nations, and are highest in Belgium, Canada, Germany, England, and Norway. 2. Hospital expenditures near end-of-life also vary widely, independent of hospitalization rate, and are...
1. This survey of Asian intensive care unit physicians’ attitudes towards end of life care showed that, for patients who had little chance of a meaningful recovery, more than two-thirds of physicians withheld life sustaining treatment, but less than one-quarter withdrew such care. 2. Three-quarters of the responding physicians felt...
1. In 47 end-of-life discussions recorded at 2 Dutch PICUs, most physicians communicated information regarding the situation, treatment, prognosis, options, and the team’s preferred course of action to parents. 2. Though parents actively participated in discussions, none were asked their preferences for the decision-making process. Parents were asked to share...
Image: PD 1. Palliative chemotherapy for terminally ill patients was associated to more intensive care in the last week of life compared to those who did not undergo palliative chemotherapy. 2. There was no significant difference in survival outcomes between populations Evidence Rating Level: 2 (Good) Study Rundown: This study investigated how...
Image: PD 1. When interviews with parents who lost children to cancer were compared to patient hospital records, researchers found that many children experienced substantial suffering toward the end of life with poorly managed symptoms. 2. There was significant discordance between parent and physician reports of patient discomfort, with parents being...