Palliative medicine
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Palliative medicine · Mar 2022
Facilitating family needs and support at the end of life in hospital: A descriptive study.
Caring for family members of dying patients is a vital component of end-of-life care, yet family members' needs at the end of life may be unmet. ⋯ Prioritising family needs should be core to end-of-life care. Anticipation of death should trigger routine referral to support personnel/services to ensure practice is guided by family needs. More research is needed to evaluate how family needs assessment can inform end-of-life care, supported by policy.
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Palliative medicine · Mar 2022
Family involvement in advance care planning for people living with advanced cancer: A systematic mixed-methods review.
Advance care planning is important for people with advanced cancer. Family involvement in advance care planning may be instrumental to achieving goal-concordant care since they frequently become surrogate decision-makers. ⋯ This review provides a comprehensive understanding of family involvement in advance care planning and could inform its assessment and implementation in clinical practice. The number of included articles was limited. Therefore future research must focus on family integration and exploration of stakeholders' perceptions to identify additional components and linkages between them within family-integrated advance care planning.
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Palliative medicine · Mar 2022
Communication strategies and persuasion as core components of shared decision-making for children with life-limiting conditions: A multiple case study.
Families and professionals caring for children with life-limiting conditions face difficult healthcare decisions. Shared decision-making is promoted in many countries, however little is known about factors influencing these processes. ⋯ Communication strategies in shared decision-making are underpinned by moral work. Professionals should be aware of the models of shared decision-making which include such communication strategies. Open discussions regarding individuals' moral reasoning may assist the process of shared decision-making.
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Palliative medicine · Mar 2022
Palliative care needs and experiences of people in prison: A systematic review and meta-synthesis.
Globally, the prison population is growing and ageing, as is the need for palliative care. Yet, little is known about how people in prison perceive palliative care provision in this setting. ⋯ People in prison expect to receive high-quality palliative care, but their experiences often do not match their expectations. Numerous structural and organisational challenges complicate the provision of palliative care in prisons, limiting accessibility of care.