Palliative medicine
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Since the latter part of the twentith century, international research, education and practice of advance care planning has experienced a diversity of developments and defintions. Whilst this variety may seem bewildering, a continued commitment to accurate, focussed research enables better care through better understanding and better evidence.
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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 dying and quality of end-of-life care of nursing home residents in six countries: An epidemiological study.
Nursing homes are among the most common places of death in many countries. ⋯ The quality of dying and quality of end-of-life care in nursing homes in the countries studied are not optimal. This includes countries with high levels of palliative care development in nursing homes such as Belgium, the Netherlands and England.