06/22/15: Managing end-of-life medications at home – accounts of bereaved family caregivers in the UK

The role of caregivers in the quality of end-of-life care at home is increasingly important.  Literature reporting perspectives of caregivers in managing medications at home is scarce in the UK.  Payne S, et al, surveyed 59 caregivers retrospectively in a quality review published online ahead of print in BMJ Supportive & Palliative Care.

Link to abstract (06/2015)


06/22/15: Advance directive services begin in a Wisconsin town and may spread nationally

Ninety-six percent of all adult residents of La Crosse, Wisconsin  have completed an advance directive.  One local physician, concerned about the uncertainty of a patients’ wishes at end-of-life and the turmoil it can create amongst family members, sought to begin end-of-life discussions with all of his adult patients.  Gradually, local hospitals were implored to do the same and today these discussions are a part of routine care. The program is expanding statewide, but practitioners say the big issue is getting paid for advance planning services to make sure the efforts continue.   

Link to article (05/2015)

06/22/15: Improving quality at end of life

Challenges of end-of-life care include primary “physicians’ dearth of training in talking about end-of-life care, lack of reimbursement of such discussions and a definition of hospice care that limits its use until patients are at the brink of death”.  In this article, the author, Rubin, includes accounts of family members in decision-making for their loved ones and difficulties faced.  Rubin also delves into a brief history of legislative progress for end-of-life planning and where it stands currently.


06/05/15: Opioid-induced Constipation: Two new palliative care Fast Facts are now available!

Opioid-induced Constipation: Two new palliative care Fast Facts are now available! 

The Center to Advance Palliative Care (CAPC) is a national organization dedicated to increasing the availability of quality palliative care services for people facing serious illness.  CAPC provides peer-reviewed, evidence-based summaries of key palliative care topics, termed “Fast Facts”. Two new palliative care Fast Facts are now available.  Fast Fact (#294) introduces opioid-induced constipation (OIC) and discusses well-established treatments while Fast Fact (#295) builds on this topic by discussing emerging management approaches to OIC.

Links to Fast Fact #294 and Fast Fact #295 (04/2015)

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