Articles: palliative-care.
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J Pain Symptom Manage · Jul 2022
Validation of 'Care Of the Dying Evaluation' (CODETM) within an international study exploring bereaved relatives' perceptions about quality of care in the last days of life.
Assessing quality of care provided during the dying phase using validated tools aids quality assurance and recognizes unmet need. ⋯ Within an international context, good evidence supports the validity and reliability of CODETM for assessing the quality of care provided in the last days of life.
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Children and young people with life-limiting or life-threatening conditions and their families are potentially vulnerable during COVID-19 lockdowns due to pre-existing high clinical support needs and social participation limitations. ⋯ Continued delivery of child- and family-centered palliative care requires innovative assessment and delivery of psycho-social support. Disruptions within treatment and care providers may compound support needs, requiring cordination for families facing multiagency delays.
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J Pain Symptom Manage · Jul 2022
Observational StudyQuality of end-of-life in cancer patients with dementia: using a nationwide inpatient database.
The growing number of older people significantly affects end-of-life care. However, few studies have assessed the quality of end-of-life care among cancer patients with dementia. ⋯ Patients with dementia are less likely to receive end-of-life care. This study demonstrates the importance of providing high-quality end-of-life care regardless the cognitive status of patients with cancer.
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Internal medicine journal · Jul 2022
Observational StudyTelehealth in outpatient delivery of palliative care: a prospective survey evaluation by patients and clinicians.
In Australia during the COVID-19 pandemic new funding models were introduced to support telehealth consultations, resulting in their widescale adoption in palliative care service delivery. Clarity around the clinical circumstances and patient populations that might be most appropriate for telehealth models was required. ⋯ Telehealth has high utility in palliative care practice. A future hybrid model of care comprising both face-to-face and telehealth consultations seems favoured by patients and physicians but must be accompanied by targeted support for specific patient groups to ensure equitable healthcare access. Further evaluation of telehealth during a time of fewer public health emergency measures and lower community anxiety is required to fully understand its ongoing role.