Palliative medicine
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Palliative medicine · Dec 2018
The 'safe death': An ethnographic study exploring the perspectives of rural palliative care patients and family caregivers.
In rural settings, relationships between place and self are often stronger than for urban residents, so one may expect that rural people would view dying at home as a major feature of the 'good death'. ⋯ Safety, in this study, is related to a familiar place for death. A home death is not essential for and does not ensure a 'good death'. We all have a responsibility to ensure all places for dying can deliver the 'safe death'. Future research could explore the inter-relationships between safety and preference for home or home-like places of death.
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Palliative medicine · Dec 2018
Quality of care for the dying across different levels of palliative care development: A population-based cohort study.
There is a lack of knowledge about how the provision and availability of specialized palliative care relates to the quality of dying in hospital and community-based settings. ⋯ The capacity of specialized palliative care does not per se influence the quality of care during the last week of life for patients in other settings.
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Palliative medicine · Dec 2018
How do expatriate health workers cope with needs to provide palliative care in humanitarian emergency assistance? A qualitative study with in-depth interviews.
Given the worldwide increase of chronic diseases, expatriate health workers on assignment with humanitarian emergency organisations can face more clinical situations that require advanced pain control or palliative care. Multiple reasons can prevent the provision of this care. ⋯ Pain control and palliative care needs occur during clinical practice in emergency humanitarian assistance. Training for expatriate health workers should be improved. Humanitarian organisations should strengthen their capacity to provide pain control and palliative care by developing and applying adapted guidelines.