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Understanding Depression in Palliative and End of Life CareTaylor, Vanessa, Ashelford, Sarah L. 28 November 2008 (has links)
No / Depression in patients receiving palliative and end-of-life care is difficult to distinguish from grief and sadness. However, there are some important distinctions and it is a clinical condition that is treatable and should not be considered a necessary or normal part of the dying process. This article examines the nature of depression and describes the stress vulnerability model of depression, linking it to recent developments in the neurobiology of depression. It also discusses how to distinguish depression from other symptoms that patients may be experiencing.
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End-of-life care after the Liverpool Care PathwayMiddleton-Green, Laura 28 April 2014 (has links)
No / This article presents a review of key issues around caring for people in the last hours and days of life. The aim is that community nurses will be able to support patients and families, and to provide and explain decisions and interventions to promote comfort and dignity based on current evidence.
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Ageism and death anxietyMiddleton-Green, Laura 09 May 2014 (has links)
No / Laura Middleton-Green, lecturer and researcher in palliative and end of life care, writes about how attitudes to death influence care of the dying.
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Development of a model for integrated care at the end of life in advanced dementia: A whole systems UK-wide approachJones, L., Candy, B., Davis, S., Elliott, M., Gola, A., Harrington, J., Kupeli, N., Lord, Kathryn, Moore, K., Scott, S., Vickerstaff, V., Omar, R.Z., King, M., Leavey, G., Nazareth, I., Sampson, E.L. 09 September 2015 (has links)
Yes / The prevalence of dementia is rising worldwide and many people will die with the disease. Symptoms towards the end of life may be inadequately managed and informal and professional carers poorly supported. There are few evidence-based interventions to improve end-of-life care in advanced dementia.
To develop an integrated, whole systems, evidence-based intervention that is pragmatic and feasible to improve end-of-life care for people with advanced dementia and support those close to them.
Design: A realist-based approach in which qualitative and quantitative data assisted the development of statements. These were incorporated into the RAND/UCLA appropriateness method to achieve consensus on intervention components. Components were mapped to underlying theory of whole systems change and the intervention described in a detailed manual.
Setting/participants: Data were collected from people with dementia, carers and health and social care professionals in England, from expert opinion and existing literature. Professional stakeholders in all four countries of the United Kingdom contributed to the RAND/UCLA appropriateness method process.
Results: A total of 29 statements were agreed and mapped to individual, group, organisational and economic/political levels of healthcare systems. The resulting main intervention components are as follows: (1) influencing local service organisation through facilitation of integrated multi-disciplinary care, (2) providing training and support for formal and informal carers and (3) influencing local healthcare commissioning and priorities of service providers.
Conclusion: Use of in-depth data, consensus methods and theoretical understanding of the intervention components produced an evidence-based intervention for further testing in end-of-life care in advanced dementia.
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Improving the end of life care for people with advanced dementia and their informal carers: a method of developing a complex intervention using a whole systems UK wide approachJones, L., Harrington, J., Lord, Kathryn, Davis, S., Chan, D., Vickerstaff, V., Scott, S., Candy, B., Round, J., Sampson, E.L. January 2014 (has links)
No / Complete : FC 16.
We aimed to develop a complex intervention
to improve end of life care (EOLC) for people with
advanced dementia and their carers. We collected data
from 4 sources: literature review; qualitative data from
health and social care professionals, carers and people
with early dementia; quantitative data from people with advanced dementia and their carers; review of UK health
and social care policy documents.
Method and results: To develop the intervention we synthesised
these data. 49 emerging statements were considered
in workshops with health and social care professionals
across UK to achieve consensus using the RAND Appropriateness
Method (RAM) to develop components of the
intervention.
1. Prior to workshops we sent invitees the RAM
form consisting of 49 statements and asked them
to rate these on a scale of 1-9 for appropriateness.
2. At the workshops statements rated as ‘uncertain’
or ‘inappropriate’ were discussed and all 49 items
were rated again.
3. Analysis resulted in the retention of 29 statements
rated as appropriate.
4. Post workshop attendees were sent the RAM form
and asked to rate 29 statements for necessity.
All 29 statements were rated as necessary and retained
then mapped onto impact theories (Grol 2007) comprised
of individual, social interaction, organisational or political/
economic context, and categorised as enablers and barriers
for an intervention.
Three core intervention components emerged:
1. Integrated systems and approaches to the delivery
of careoperational plan
2. Education, training and support for health and
social care professionals and carers - utilisation
plan
3. Political and economic context dependent on
reimbursement and contracting through CCG
commissioning.
Discussion: The next phase is to pilot components 1 and 2
of the intervention in a naturalistic experiment in one inner
city and one suburban locality at different stages of development
for services for EOLC for people with dementia
and their carers.
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Sterbebett-Visionen: Relevanz für die palliative careKellehear, Allan January 2014 (has links)
No
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The public health end-of-life care movement: History, principles, and styles of practiceKarapliagou, Aliki, Kellehear, Allan, Wegleitner, K. 11 July 2019 (has links)
Yes
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Development and Effectiveness of an End-of-Life Care Program for Faculty in the Critical Care Field: A Randomized Controlled Trial / クリティカルケア領域の指導者層を対象としたエンド・オブ・ライフケアプログラムの開発と効果:ランダム化比較試験Tamura, Yoko 25 March 2024 (has links)
京都大学 / 新制・論文博士 / 博士(人間健康科学) / 乙第13614号 / 論人健博第14号 / 京都大学大学院医学研究科人間健康科学系専攻 / (主査)教授 古田 真里枝, 教授 宮下 美香, 教授 片岡 仁美 / 学位規則第4条第2項該当 / Doctor of Human Health Sciences / Kyoto University / DFAM
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Intensive Care Nurses' Meaningful Experiences in Providing End-of-Life CareStokes, Heather January 2018 (has links)
End-of-life care (EOLC) has become a significant area of expertise in the intensive care unit (ICU). Critical care nurses are the primary caregivers of patients in the ICU and they provide EOLC for patients and families daily. Nurses have portrayed EOLC as difficult and demanding work; yet, they have also described their experiences of providing EOLC as rewarding, gratifying, and a privilege. The purpose of this study was to explore nurses’ meaningful experiences with providing EOLC for patients and families in the context of the ICU. Van Manen’s approach to interpretive phenomenology was used. Unstructured face-to-face interviews were conducted with six registered nurses who were employed in a medical/surgical tertiary care ICU. The interviews were audio-recorded, transcribed, and analyzed. The essence of nurses’ meaningful experiences in providing EOLC was ‘being able to make a difference’. For the nurses, being able to make a difference reflected their efforts to create a good death for the dying patient and their family. The nurses had to navigate a variety of challenges that affected the creation of a good death, however, they made it work by building relationships quickly with families, taking care of themselves, and recognizing it’s a privilege to provide EOLC. These research findings contribute to an expanding body of knowledge and understanding with regards to nurses’ role with the provision of EOLC in the ICU.
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Sjuksköterskans erfarenheter av vård i livets slutskede i hemmet : En litteraturöversikt / Nurses' experiences of end-of-life care at homeHakala, Julia, Sherali, Roya January 2022 (has links)
Bakgrund och problemformulering: Vård i livets slutskede innebär att vården övergår från att vara livsförlängande till att vara lindrande. Vården kan pågå från dagar till månader och det är viktigt att sjuksköterskan anpassar vården utifrån patientens hälso- och livssituation. Sjuksköterskan ska erbjuda patienten en säker och evidensbaserad vård som utgår från patientens aktuella behov och önskemål. Syfte: Syftet är att belysa sjuksköterskans erfarenheter av vård i livets slutskede i hemmet. Metod: En litteraturöversikt enligt Friberg gransknings- och analysmetod. Resultat: Resultatet presenteras i två teman och fem subteman. Teman som identifierades var att skapa en vårdande relation vid vård i livets slutskede och sjuksköterskas roll vid vård i livets slutskede i hemmet. Slutsats: Det krävs att sjuksköterskan har kompetens, kunskap och engagemang för att kunna erbjuda patienten en god vård i livets slutskede. Trots att vård i hemmet blir allt vanligare inriktar sig den aktuella grundutbildningen för sjuksköterskor i stor utsträckning från att vårda på sjukhus. / Background and problem formulation: Care in the final stages of life means that the care transitions from being life-extending to being palliative. The care can last from days to months and it is important that the nurse adapts the care based on the patient's health and life situation. The nurse must offer the patient safe and evidence-based care based on the patient's current needs and wishes. Aim: The aim is to illustrate the nurse's experiences of end-of-life care at home. Method: A literature review according to Friberg's review and analysis method. Results: The results are presented in two themes and five sub-themes. Themes that were identified were to create a caring relationship in end-of-life care and the role of nurses in end-of-life care at home. Conclusion: It is required that the nurse has the competence, knowledge and commitment to be able to offer the patient good care in the final stages of life. Despite the fact that home care is becoming more common, the current basic education for nurses largely focuses on nursing in hospitals.
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