Articles: palliative-care.
-
Families often struggle with feelings of helplessness and futility in supporting suffering loved ones. Healthcare providers face similar struggles when patients' ailments aren't readily fixable. ⋯ Intensive Caring describes how to affirm patients matter, comprised of non-abandonment, taking an interest in the patient as a person, containing hope, guiding families towards viable opportunities, dignity affirming tone, and therapeutic humility. While originally conceived for healthcare providers, its applications for families supporting suffering loved ones remains to be explored.
-
Emerg Med Australas · Feb 2024
End-of-life care: A retrospective cohort study of older people who died within 48 hours of presentation to the emergency department.
To describe the characteristics of, and care provided to, older people who died within 48 h of ED presentation. ⋯ Identification of patients at end-of-life (EoL) is not always straightforward; consider recent reduction in independence and recent ED visits/hospital admissions. System-based strategies that span pre-hospital, ED and in-patient care are recommended to facilitate EoL pathway implementation and care continuity.
-
J Pain Symptom Manage · Feb 2024
Multicenter Study Controlled Clinical TrialNursing care for spiritual pain in terminal cancer patients: A non-randomized controlled trial.
Spiritual well-being is important for terminal cancer patients; however, appropriate interventions remain to be established. ⋯ SpiPas-SCP-N for spiritual pain may have a positive impact on terminal cancer patients. Future research using larger samples, randomized design, and the meaning/peace subscale of FACIT-Sp as the primary outcome is necessary as well as supervision and continuous training in daily nursing practice.
-
Palliative medicine · Feb 2024
ReviewEducation modalities for serious illness communication training: A scoping review on the impact on clinician behavior and patient outcomes.
Several clinician training interventions have been developed in the past decade to address serious illness communication. While numerous studies report on clinician attitudes and confidence, little is reported on individual education modalities and their impact on actual behavior change and patient outcomes. ⋯ This scoping review of serious illness communication interventions found heterogeneity among education modalities used and limited evidence supporting their effectiveness in impacting patient-centered outcomes and long-term clinician skill acquisition. Well-defined educational modalities and consistent measures of behavior change and standard patient-centered outcomes are needed.