BMJ supportive & palliative care
-
BMJ Support Palliat Care · Nov 2019
Sedatives and sedation at the end of life: a nursing home retrospective cohort study.
Sedatives are frequently used at the end of life in specialist palliative care. There is scarce information about their use in nursing homes. Therefore, we aimed to assess the use of (1) sedatives generally and (2) 'sedatives with continuous effect', based on objective operational criteria, within the last week of life in a nursing home. ⋯ Compared with published data on continuous deep sedation, moderate or deep sedation was less frequent in this nursing home and never labelled as 'sedation'. Multicentre mixed-methods research is needed to gain representative and more detailed data on sedation practices at the end of life in nursing homes.
-
BMJ Support Palliat Care · Nov 2019
ReviewPatients' spirituality perspectives at the end of life: a qualitative evidence synthesis.
Understanding patient perceptions of their spiritual needs when approaching the end of life is essential to support the delivery of patient-centred care. ⋯ CRD42019122062.