End of Life Journal Archives

Content tagged with Palliative and end-of-life care

Holistic Assessment of a Woman Admitted to a Hospice With Anxiety

Rebecca Newman

Many people with a terminal diagnosis experience anxiety and require emotional support. Anxiety is characterised by various symptoms, including apprehension, worry, difficulty in concentrating, irritability, panic, fear and restlessness. For some people, the anxiety becomes excessive and persistent and has a significant impact on their quality of life. In advanced... Read full article

Barriers to Effective End-Of-Life Nursing Care Out-Of-Hours

Nicola Hillman

The End of Life Care Strategy recommended that terminally ill patients living at home must have access to community out-of-hours end-of-life care services. The Strategy particularly emphasised that rapid-response community nursing services should be made available in all areas, 24 hours a day, 7 days a week. The lack of... Read full article

Care of Breathlessness in a Hospice Patient With Advanced Lung Cancer

Gemma Hodge

Lung cancer has a high symptom burden, leading to poor physical and psychosocial functioning and reduced quality of life. Dyspnoea (breathlessness) is one of the most common symptoms experienced in the advanced stages of lung cancer. It is the subjective sensation of breathing discomfort and can be a continuous symptom... Read full article

Knowledge and Skills Needed by Informal Carers to Look After Terminally Ill Patients at Home

Josaleen Connolly, Dr Stuart Milligan

Background: The majority of terminally ill people wish to remain, and be cared for, at home by family members with the support of the community care team. However, informal carers tend to feel unprepared for the caring role, are often elderly, have varying levels of support and suffer stress and... 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

Workplace Stressors: A Survey of Palliative Care Nurses in Australia

Dr Louise Peters, Dr Susan Lee, Professor Margaret O’Connor

Background: Working with terminally ill patients places palliative care and hospice nurses at risk of chronic stress, mental health problems and burnout. Aim: This study investigated the source and level of workplace stress experienced by palliative care nurses in Australia. Methods: Seventy-one palliative care nurses completed a self-report questionnaire based... Read full article

Death and Dying in Intensive Care: Emotional Labour of Nurses

Lucy Ryan, Jane Seymour

Intensive care unit (ICU) nursing is associated with emotional labour. ICU nurses regularly care for dying patients. End-of-life care (EoLC) can be a major cause of stress in ICU, particularly in relation to the withdrawal of life-sustaining treatment, managing the transition from curative care to EoLC and dealing with the... Read full article

Breathlessness, Thirst and Anxiety in the end Stages of Heart Failure

Clare Young

Heart failure is associated with a high symptom burden, which can have a negative effect on the life of the person with heart failure as well as their relatives/loved ones. One of the main symptoms of heart failure is breathlessness, which reduces the ability of the person to maintain independence... Read full article

Lymphoedema Management in Palliative and end-of-life care

Catherine Kreckeler

Lymphoedema is a progressive, chronic condition that can have profound adverse effects on the physical and psychosocial wellbeing of sufferers. It tends to be ineffectively managed in palliative care clinical settings and the condition often goes unrecognised and untreated. Multi-layer, compression, decongestive therapy remains one of the cornerstones of lymphoedema... Read full article

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