Search: end-of-life care

Doctors Don't Want Aggressive End-of-Life Treatment for Themselves

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Although most physicians would choose a do-not-resuscitate code for themselves when terminally ill, they tend to pursue life-prolonging treatment for patients in a similar condition, new research shows. The study, conducted by researchers from the Stanford University School of Medicine, demonstrates a ΓÇ£disconnectΓÇ¥ that needs to be further explored. ΓÇ£Why do we physicians choose to pursue such aggressive treatment for our patients when we wouldnΓÇÖt choose it for ourselves?ΓÇ¥ said lead author VJ Periyakoil, director of the Stanford Palliative Care Education and Training Program.

Myths About Palliative Care

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A specialized, multidisciplinary team approach to caring for seriously ill people and their families, is often errantly reduced to end-of- life care. This misconception has led to palliative care involvement being introduced late in an illness, often depriving patients and their families of comprehensive symptom control, support and assistance with complex decision-making throughout the course of their illness when it could provide the most benefit.

Specialist Docs Up Feeding Tube Use in Dementia Patients

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When elderly patients with advanced dementia are hospitalized, the specialties of the doctors at their bedside have a lot to do with whether the patients will end up with a gastric feeding tube -- a practice that some medical organizations recommend against for frail, terminal patients. That is the finding of a study done at Brown University and published in the April 2014 edition of the journal Health Affairs,

Advance Directives Critical for Elderly Still at Home

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More than 70% of elderly Medicare beneficiaries experience cognitive impairment or severe dementia near the end of life and may need surrogate decision makers for healthcare decisions. Advance care planning for older adults with dementia may be particularly important for individuals who do not reside in a nursing home or a long-term care facility, according to research done at at the Johns Hopkins Bloomberg School of Public Health and published in the April 2014 issue of Health Affairs.

Chemo at End of Life Ups Risk of Dying in ICU

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The use of chemotherapy in terminally-ill cancer patients in the last months of life is associated with increased risk of undergoing resuscitation and dying in an intensive care unit, suggests a paper published on bmj.com today. The researchers suggest that end-of-life discussions may be particularly important for patients receiving chemotherapy and suggest that caregivers should ensure that patients are aware of their prognosis, likely outcomes of treatment and that their choices are aligned with their end-of-life values.

Hospitals Can Learn from Hospices

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Training hospital and nursing home staff in the basics of palliative care can make the last days of a dying patient’s life as comfortable and dignified as possible, according to F. Amos Bailey of the Birmingham Veterans Affairs Medical Center and the University of Alabama at Birmingham. Bailey is the leader of a study¹ that showed the value of introducing palliative care strategies, typical of hospices, within the setting of Veterans Affairs Medical Centers.

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