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Showing results for tags 'End of life care'.
Found 72 results
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News ArticleDoctors are less likely to resuscitate the most seriously ill patients in the wake of the pandemic, a survey suggests. Covid-19 may have changed doctors’ decision-making regarding end of life, making them more willing not to resuscitate very sick or frail patients and raising the threshold for referral to intensive care, according to the results of the research published in the Journal of Medical Ethics. However, the pandemic has not changed their views on euthanasia and doctor-assisted dying, with about a third of respondents still strongly opposed to these policies, the survey resp
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Content ArticleThis research from Benjamin Kah Wai Chang and Pia Matthews was conducted between May and August 2021, during which COVID-19 hospital cases were relatively low and pressures on NHS resources were near normal levels. Data were collected via online survey sent to doctors of all levels and specialties, who have worked in the NHS during the pandemic. In total, 231 participants completed the survey. The research found that over half of participants reported making more patients DNACPR than prepandemic, and this was due, at least in part, to an increased focus on factors including patient age, C
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Marie Curie - Better end of life report (April 2021)
Patient-Safety-Learning posted an article in End of life care
Key findings Many more people died in 2020 than usual, with many experiencing tremendous hardships at the end of life. The place where people died changed, with many more dying at home. Palliative and end of life care services have been a vital part of the pandemic emergency response, switching their services into delivery in community settings. Care was compromised by shortages of essential PPE, medicines and staff – these were made worse by hospices not being seen as 'frontline NHS'. -
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Event
End PJ Paralysis 4th Global Summit
Patient Safety Learning posted a calendar event in Community Calendar
untilThe 4th #EndPJparalysis Global Summit will bring people from health and social care around the world together to share best practice, to explore the research, case studies and lived experience around the impact of deconditioning. The Summit will include a wide range of clinical presentations as well as leadership discussions and perspectives on looking after those in the caring professions. Like previous years, there will be an eclectic mix of speakers, panel discussions and the opportunity to ask questions and build up your peer network. The Summit will run online for 36hrs. Se -
Content Article
End PJ paralysis campaign
Patient Safety Learning posted an article in Patient management
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Content ArticleKey findings include: In 2020/21, hospices supported an estimated 300,000 people in the UK, including people at the end of life, families, carers and bereaved relatives. During the pandemic there has been a shift in where and how services are provided, with much more care delivered at home. In 2020/21, there were almost a million ‘hospice at home’ contacts. In contrast, day services and hospice outpatient settings saw a decline in the number of contacts and people seen, and fewer people were hospice inpatients. In addition, the complexity of patients’ needs may have increas
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News Article
US doctor accused of killing 14 patients found not guilty
Patient Safety Learning posted a news article in News
In an unprecedented murder case in the United States about end-of-life care, a physician accused of killing 14 critically ill patients with opioid overdoses in a Columbus, Ohio hospital ICU over a period of 4 years was found not guilty by a jury Wednesday. The jury, after a 7-week trial featuring more than 50 witnesses in the Franklin County Court of Common Pleas, declared William Huse not guilty on 14 counts of murder and attempted murder. In a news conference after the verdict was announced, lead defense attorney Jose Baez said Husel, whom he called a "great doctor," hopes to pract -
Content ArticleThe guidance provides advice on the following subjects: making decisions with patients who have capacity what to do if your patient doesn’t have capacity assessing the overall benefit of treatment advanced care planning meeting a patients' nutrition and hydration needs cardiopulmonary resuscitation the role of relatives, partners and others close to the patient organ donation and care after death.
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Animation - The 'D' word (10 March 2022)
Patient-Safety-Learning posted an article in End of life care
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News Article
Dying patients living longer than expected lose NHS funds
Patient Safety Learning posted a news article in News
More than 1,300 patients a year are having NHS funding for their palliative care withdrawn after living longer than expected, BBC analysis shows. Terminally ill or rapidly-declining patients are given fast-track support, allowing them to live outside hospital. From 2018 to 2021, a total of 9,037 people had this funding reviewed in England and Wales, with 47% of them losing all support. A further 15% of patients had their continuing healthcare support replaced with the more limited NHS-funded nursing care. Sandra Hanson was referred to the fast-track pathway of the NHS conti -
Event
Next steps for palliative and end of life care in England
Patient Safety Learning posted a calendar event in Community Calendar
This Westminster Health Forum conference will examine the next steps for palliative and end of life care in England. It will be a timely opportunity to assess the updated Ambitions for Palliative and End of Life Care: A national framework for local action and how its aims can be achieved. The agenda will bring out latest thinking on key priorities in the framework and wider issues, looking at: patient-centred care service delivery, local leadership, integrated care systems, and community networks tackling variation, sharing best practice and addressing inequalit -
News Article
End-of-life care will become a legal right
Patient Safety Learning posted a news article in News
Dying people will be given an explicit legal right to healthcare for the first time in NHS history, requiring every part of England to provide specialist palliative care. New analysis from the charity Marie Curie shows that about 215,000 people a year miss out on end-of-life care and that without intervention this could rise to 300,000 within 20 years. The government will back an amendment to the Health and Care Bill in the House of Lords. Baroness Finlay of Llandaff, a professor of palliative care medicine and supporter of the amendment, said: “This change is incredibly importa -
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A series of failures: a relative's story
Patient Safety Learning posted an article in Keeping patients safe
Two years before Susan’s relative died, he was scanned for an unrelated condition that needed no treatment. This scan showed a small tumour which was recorded and identified as a red alert. The locum doctor reviewing the scan was 16 hours into his shift. No action was taken by the Trust and neither the patient nor his GP were alerted to the tumour and the need for immediate treatment. Eighteen months later, Susan’s relative presented with symptoms at his GP’s surgery and was referred for urgent assessment. He was diagnosed with cancer and a course of chemotherapy and radiotherapy was undertake- Posted
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News ArticleDeath has become “over medicalised” and the public should be encouraged to discuss dying and grief, experts have said. There's a call for shift in attitude towards palliative care, with more emphasis on compassion and less on giving medication that may prolong pain. According to a new Lancet commission, an overemphasis on aggressive treatments to prolong life, global inequities in palliative care access, and high end-of-life medical costs have led to millions of people suffering unnecessarily at the end of their life. The authors also note that the pandemic has made death and dy
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UK healthcare regulator brands resuscitation strategy unacceptable
Patient Safety Learning posted a news article in News
Elderly care home residents have been categorised “en masse” as not requiring resuscitation, in a strategy branded unacceptable by the healthcare regulator. People in care homes in Hove, East Sussex and south Wales are among those who have had “do not attempt resuscitation” (DNAR) notices applied to their care plans during the coronavirus outbreak without proper consultation with them or their families, MPs and medical unions fear. Care homes in Leeds have reported that district nurses have been asking them to “revisit do not resuscitate conversations with people who said they didn’t -
News Article
Coronavirus: GP surgery apology over 'do not resuscitate' form
Patient Safety Learning posted a news article in News
A GP surgery has apologised after sending a letter asking patients with life-limiting illnesses to complete a "do not resuscitate" form. A letter, from Llynfi Surgery in Maesteg, asks people to sign to ensure emergency services would not be called if their condition deteriorated due to coronavirus. "We will not abandon you.. but we have to be frank and realistic," it said. Cwm Taf health board issued an apology from the surgery, the Guardian reports. The letter says in an "ideal situation" doctors would have had this conversation in person but had written to them due to fea -
News Article
‘Do not resuscitate’ orders caused potentially avoidable deaths, regulator finds
Patient Safety Learning posted a news article in News
Do-not-resuscitate orders were wrongly allocated to some care home residents during the COVID-19 pandemic, causing potentially avoidable deaths, the first phase of a review by England’s Care Quality Commission (CQC) has found. The regulator warned that some of the “inappropriate” do not attempt cardiopulmonary resuscitation (DNACPR) notices applied in the spring may still be in place and called on all care providers to check with the person concerned that they consent. The review was prompted by concerns about the blanket application of the orders in care homes in the early part of t -
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Content ArticleMEs are a key element of the death certification reforms, which, once in place, will deliver a more comprehensive system of assurances for all non-coronial deaths, regardless of whether the deceased is buried or cremated. MEs will be employed in the NHS system, ensuring lines of accountability are separate from NHS Acute Trusts but allowing for access to information in the sensitive and urgent timescales to register a death. This case study outlines the approach of South Tees Hospitals NHS Foundation Trust as one of the early adopter sites. To date, the following learning points have
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