Palliative medicine
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Palliative medicine · Dec 2021
Timely short-term specialized palliative care service intervention for older people with frailty and their family carers in primary care: Development and modelling of the frailty+ intervention using theory of change.
Palliative care is advocated for older people with frailty and multimorbidity in the community. However, how to best deliver it is unclear. ⋯ The Theory of Change approach allowed us to identify multiple intervention components targeting different stakeholders to achieve the desired outcomes. It also facilitated a detailed description of the intervention which aims to increase replicability and effective comparisons with other interventions.
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Palliative medicine · Oct 2021
Association between high cost user status and end-of-life care in hospitalized patients: A national cohort study of patients who die in hospital.
Studies comparing end-of-life care between patients who are high cost users of the healthcare system compared to those who are not are lacking. ⋯ Many patients receive aggressive elements of end-of-life care during the hospitalization in which they die and a substantial number do not receive palliative care. Understanding how this care differs between those who were previously high- and non-high cost users may provide an opportunity to improve end of life care for whom better care planning and provision ought to be an equal priority.
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Palliative medicine · Oct 2021
Observational StudyEstimating the current and future prevalence of life-limiting conditions in children in England.
Previous studies showed increasing number of children with a life-limiting or life-threatening condition who may benefit from input from pediatric palliative care services. ⋯ The prevalence of children with a life-limiting or life-threatening condition in England has risen over the last 17 years and is predicted to increase. Future data collections must include the data required to assess the complex health and social care needs of these children.
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Palliative medicine · Oct 2021
Sleeping-related distress in a palliative care population: A national, prospective, consecutive cohort.
Sleep, a multi-dimensional experience, is essential for optimal physical and mental wellbeing. Poor sleep is associated with worse wellbeing but data are scarce from multi-site studies on sleeping-related distress in palliative care populations. ⋯ This large, representative study of palliative care patients shows high prevalence of sleeping-related distress, with strong associations shown to distress from other symptoms including pain, breathlessness and fatigue.