End of Life Journal Archives

Content tagged with Professional Issues

Care home or home care? Difficult decisions for people with dementia and their carers

Michael Wortley

The majority of people, including people with dementia, would prefer to be cared for in their homes until the end of their lives. However, that is often dependent on the ability of an informal carer (a family member or friend) to provide care at home. Caring for a person with... Read full article

Preferred place of death: determining factors and the role of advance care planning

Claire Hornigold

One of the many factors associated with a good death is when patients have been able to be cared for, and have died, in their preferred place. Supporting patients to die in their preferred place of care is considered a quality indicator of palliative and end-of-life care. Most people wish... Read full article

Preventing avoidable hospital admissions for people with advanced dementia

Kimberley St John

Dementia is a life-limiting condition that is associated with a high symptom burden, particularly in the advanced stages of the disease. People with dementia wish to be cared for and to die in their usual place of residence. However, in the UK, over 30% of people with dementia will die... Read full article

The Emotional Labour of Caring for Patients at the End of Life

Deborah Holman

Nurses’ emotional commitment to their patients contributes to the quality and excellence of nursing care and enhances the nurse–patient relationship. Nurses are expected to manage their emotions in order to present a professional demeanour and maintain professional boundaries, while at the same time provide genuine caring behaviour to their patients.... Read full article

Role of Acute Oncology in the Transition to Palliative Care

Claire S Nunn

Patients with cancer may attend hospital emergency departments as a result of complications of their disease process and treatment, e.g. sepsis, hypercalcaemia or nausea and vomiting. In addition, patients with undiagnosed cancer can also present at emergency departments when they become symptomatic. The acute care culture within hospitals means that... Read full article

Palliative Care Funding Review: Implications for Family Carers

Rebecca Newman

In the UK, widespread national variation in the funding and provision of end-of-life care services has led to an independent Palliative Care Funding Review being commissioned, the aim of which is to create a transparent funding system, with better outcomes for patients and value for the NHS. The Review’s proposed... Read full article

Problems Associated With Care At The End Of Life In Acute Hospitals

Melissa J Bloomer, Cheryle Moss, Wendy Cross

Many more people die in acute hospitals than ever before. An integrative literature review was undertaken to explore end-of-life care (EoLC) delivered in non-palliative care settings. It showed that providing EoLC in acute hospitals is difficult, given the emphasis on life extension and cure. EoLC pathways can assist with the... Read full article

Non-Invasive Ventilation: New Challenges For Hospice Nurses

Ruth Palmer

Specialist palliative care units such as hospices are increasingly providing care for patients with non-malignant conditions. However, that means that palliative care nurses require education and training in the care of people with a variety of conditions, not just cancer. Also, palliative care nurses need to understand that they cannot... Read full article

Challenges of Domiciliary Carers when Providing End-of-Life Care

Heather Watson

Given the choice, most people would prefer to be cared for and die at home, if they are assured of high-quality care and proper support for their families/carers. Domiciliary care workers play a large role in the care of terminally ill people at home. However, the experiences of patients and... Read full article

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