BMJ : British medical journal
-
Randomized Controlled Trial Clinical Trial
Novel consent process for research in dying patients unable to give consent.
To develop a process of advance consent to enable research to be undertaken in patients in the terminal phase. ⋯ Initial assessment suggests that this is a workable consent process allowing research to be undertaken in patients who are unable to give consent at the time of randomisation. Patient accrual rates to date are lower than needed to recruit adequate numbers in the time allotted to answer the research question.
-
To assess how euthanasia in terminally ill cancer patients affects the grief response of bereaved family and friends. ⋯ The bereaved family and friends of cancer patients who died by euthanasia coped better with respect to grief symptoms and post-traumatic stress reactions than the bereaved of comparable cancer patients who died a natural death. These results should not be interpreted as a plea for euthanasia, but as a plea for the same level of care and openness in all patients who are terminally ill.
-
To identify the palliative care needs of terminally ill people in Uganda. ⋯ A "good death" in a developing country occurs when the dying person is being cared for at home, is free from pain or other distressing symptoms, feels no stigma, is at peace, and has their basic needs met without feeling dependent on others.