Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2022
Enduring Physical or Mental Suffering of People Requesting Medical Assistance in Dying.
Medical assistance in dying (MAiD) is available in Canada for patients with grievous and irremediable medical conditions causing unbearable physical or mental suffering. It is not known how the 'grievous and irremediable suffering' criteria is being interpreted and documented by physicians. ⋯ MAiD assessors' working definition of 'grievous and irremediable suffering' as documented in their assessments is consistent with the body of literature on this topic. MAiD assessments could be enhanced with more information about existential aspects of suffering and the impact of illness on meaningful life roles.
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J Pain Symptom Manage · Feb 2022
One Hospital's Response to the Institute of Medicine Report, "Dying in America".
In response to the Institute of Medicine (IOM) report, Dying in America, we undertook an institution wide effort to improve the experience of patients and families facing serious illness by engaging leadership and developing a program to promote the practice of generalist palliative care. ⋯ A broad based strategy resulted wide institutional engagement with serious illness care.
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J Pain Symptom Manage · Feb 2022
Development, Implementation, and Outcomes of a Serious Illness Care Community of Practice.
Communities of Practice (CoP) can help geographically separated individuals who share a joint enterprise, mutual engagement, and a repertoire of tools to gain, maintain, and implement new skills, including serious illness communication. ⋯ This article describes the implementation and health system outcomes of a Community of Practice developed to support serious illness communication. The results indicate that the membership of the community grew and that the community supported growth in the number of trained clinicians and the number of serious illness conversations conducted.