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Found 29 results
  1. Content Article
    My mother, 87 years, was admitted to hospital with a suspected heart attack. At the time, she was on a strong dose of a GP-prescribed opioid (fentanyl) to manage her growing lung cancer. The Duty doctor in the hospital seemed panicked as she was so unwell and used a drug to totally reverse her morphine as they thought she had overdosed. This caused excruciating pain for most of the last 60 hours of her life. They hadn’t properly assessed the history of her prescription or asked me, her documented health advocate, about the drug or my mother’s end of life wishes. After a 2-year long traumatic j
  2. Content Article
    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'.
  3. Content Article
    Key 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
  4. News Article
    More than 1,300 patients a year are having NHS funding for their palliative care withdrawn after living longer than expected, BBC analysis shows.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
  5. Content Article
    "Several concerns have been raised about the risk of overdose and death from oral morphine sulphate solution over the past few years, but they have gone unheard." In light of coroners reports of deaths related to abuse, or accidental overuse of Oramorph or oral morphine sulphate solution. the author argues for increased regulation. Commenting: "In the absence of any action from ministers, it seems that healthcare professionals are going to have to take the care of vulnerable patients into their own hands." My reflections on this are: Is this a signal for increased regulation or
  6. Content Article
    The 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.
  7. News Article
    Death 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
  8. Event
    Dr Donna Prosser, Chief Clinical Officer, Patient Safety Movement Foundation, is joined by a neonatal palliative care expert, an adult palliative care expert, and a family member representative for palliative care to discuss introducing palliative care conversations, embracing shared decision-making, differentiating palliative care from end of life care, and implementing organisational initiatives to improve consistent and meaningful palliative care delivery. Register
  9. Content Article
    This web page includes: Films The framework Community Breaking bad news Ceilings of treatment Resources Evidence-based advice for difficult conversations, by Professor Ruth Parry, Loughborough University Poster and sketch note Telephone call checklist
  10. Content Article
    This guidance is produced during the COVID-19 outbreak in order to support the care in the community of patients and those important to them, at the end of their lives or who are unwell as the result of COVID-19 or other life-limiting illnesses. This document will be updated and adapted as further contributions are received and in line with changing national guidance. The most current version of the guidance document will be available on the public-facing pages of the RCGP COVID-19 Resource Hub and Association for Palliative Medicine website. Please check that you are referring to t
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