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ROYAUME UNI

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Characteristics and outcomes of patients with covid-19 at a district general hospital in Surrey, UK

KNIGHTS, Harry ; MAYOR, Nikhil ; MILLAR, Kristina ; COX, Matthew ; BUNOVA, Evgeniya ; HUGHES, Morgan ; BAKER, Jack ; MATHEW, Sanju ; RUSSELL-JONES, David ; KOTWICA, Aleksandra
Clinical medicine, 24/07/2020, p. 1-6

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The preferences of patients with chronic obstructive pulmonary disease are to discuss palliative care plans with familiar respiratory clinicians, but to delay conversations until their condition deteriorates - a study guided by interpretative phenomenological analysis

TAVARES, Nuno ; HUNT, Katherine J. ; JARRETT, Nikki ; WILKINSON, Tom Ma
PALLIATIVE MEDICINE, 28/07/2020, Pagination inconnue

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Improving medical students' confidence in end-of-life consultations

BANSAL, Aarti ; MONK-CUNLIFFE, Alice ; NORMAN, Megan ; FINGAS, Samuel
The clinical teacher, 30/07/2020, p. 1-6

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An audit of end-of-life symptom control in patients with corona virus disease 2019 (COVID-19) dying in a hospital in the United Kingdom

ALDERMAN, Bryony ; WEBBER, Katherine ; DAVIES, Andrew N.
PALLIATIVE MEDICINE, 10/2020, vol.34, n°9, p. 1249-1255

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The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a covid-19 pandemic - findings from a service evaluation

CHIDIAC, Claude ; FEUER, David J. ; FLATLEY, Mary ; RODGERSON, Anna ; GRAYSON, Kate ; PRESTON, Nancy
PALLIATIVE MEDICINE, 10/2020, vol.34, n°9, p. 1241-1248

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UK public's views and perceptions about the legalisation of assisted dying and assisted suicide

PENTARIS, Panagiotis ; JACOBS, Lucy
OMEGA JOURNAL OF DEATH AND DYING, 03/08/2020, Pagination inconnue

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Exploring the costs, consequences and efficiency of three types of palliative care day services in the UK - a pragmatic before-and-after descriptive cohort study

MITCHELL, Paul Mark ; COAST, Joanna ; MYRING, Gareth ; RICCIARDI, Federico ; VICKERSTAFF, Victoria ; JONES, Louise ; ZAFAR, Shazia ; CUDMORE, Sarah ; JORDAN, Joanne ; MCKIBBEN, Laurie ; GRAHAM-WISENER, Lisa ; FINUCANE, Anne M. ; HEWISON, Alistair ; HARALDSDOTTIR, Erna ; BRAZIL, Kevin ; KERNOHAN, W. George
BMC palliative care, 07/08/2020, vol.19, n°1, p. 1-9

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International covid-19 palliative care guidance for nursing homes leaves key themes unaddressed

GILISSEN, Joni ; PIVODIC, Lara ; UNROE, Kathleen T. ; VAN DEN BLOCK, Lieve
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 08/2020, vol.60, n°2, p. e56-e69

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The impact of the covid-19 pandemic on cancer deaths due to delays in diagnosis in England, UK - a national, population-based, modelling study

MARINGE, Camille ; SPICER, James ; MORRIS, Melanie ; PURUSHOTHAM, Arnie ; NOLTE, Ellen ; SULLIVAN, Richard ; RACHET, Bernard ; AGGARWAL, Ajay
The Lancet. Oncology, 08/2020, vol.21, n°8, p. 1023-1034

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Rehabilitation medicine in palliative care of chronic neurological conditions

NAIR, Krishnan P. S. ; CHANDLER, Barbara ; LEE, Mark A. ; OLIVER, David ; SANSAM, Kate ; KING, Lenyalo ; PAISLEY, Suzanne ; SUTTON, Anthea ; CANTRELL, Anna
BMJ supportive and palliative care, 24/08/2020, Pagination inconnue

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Evaluating the thresholds for clinical importance of the EORTC QLQ-C15-PAL in patients receiving palliative treatment

PILZ, Micha J. ; AARONSON, Neil K. ; ARRARAS, Juan I. ; CAOCCI, Giovanni ; EFFICACE, Fabio ; GROENVOLD, Mogens ; HOLZNER, Bernhard ; VAN LEEUWEN, Marieke ; LOTH, Fanny L. C. ; PETERSEN, Morten Aa ; RAMAGE, John ; TOMASZEWSKI, Krzysztof A. ; YOUNG, Teresa ; GIESINGER, Johannes M.
JOURNAL OF PALLIATIVE MEDICINE, 24/08/2020, Pagination inconnue

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Bringing into focus treatment limitation and DNACPR decisions - how covid-19 has changed practice

COLEMAN, Jamie J. ; H BOTKAI, Adam ; MARSON, Ella J. ; EVISON, Felicity ; ATIA, Jolene ; WANG, Jingyi ; GALLIER, Suzy ; SPEAKMAN, John ; PANKHURST, Tanya
Resuscitation, 10/2020, vol.155, p. 172-179

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Thème : Soins. Cote : eD02.03.00

EPIDEMIE ; TESTAMENT VIE ; ROYAUME UNI ; PATIENT

Background: The COVID-19 pandemic has introduced further challenges into Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions. Existing evidence suggests success rates for CPR in COVID-19 patients is low and the risk to healthcare professionals from this aerosol-generating procedure complicates the benefit/harm balance of CPR.
Methods: The study is based at a large teaching hospital in the United Kingdom where all DNACPR decisions are documented on an electronic healthcare record (EHR). Data from all DNACPR/TEAL status forms between 1st January 2017 and 30th April 2020 were collected and analysed. We compared patterns of decision making and rates of form completion during the 2-month peak pandemic phase to an analogous period during 2019.
Results: A total of 16,007 forms were completed during the study period with a marked increase in form completion during the COVID-19 pandemic. Patients with a form completed were on average younger and had fewer co-morbidities during the COVID-19 period than in March-April 2019. Several questions on the DNACPR/TEAL forms were answered significantly differently with increases in patients being identified as suitable for CPR (23.8% versus 9.05%; p < 0.001) and full active treatment (30.5% versus 26.1%; p = 0.028). Whilst proportions of discussions that involved the patient remained similar during COVID-19 (95.8% versus 95.6%; p = 0.871), fewer discussions took place with relatives (50.6% versus 75.4%; p < 0.001).
Conclusion: During the COVID-19 pandemic, the emphasis on senior decision making and conversations around ceilings of treatment appears to have changed practice, with a higher proportion of patients having DNACPR/TEAL status documented. Understanding patient preferences around life-sustaining treatment versus comfort care is part of holistic practice and supports shared decision making. It is unclear whether these attitudinal changes will be sustained after COVID-19 admissions decrease.

Origine : PubMed

An active in-home physician model of palliative care and its resulting performance indicators related to home deaths, unplanned emergency department visits and unplanned hospital admissions

WEBBER, Colleen ; VALIULIS, Aurelia Ona ; TANUSEPUTRO, Peter ; SCHULZ, Valerie ; APRAMIAN, Tavis ; SCHREIER, Gil ; HAMILTON, Kirk
JOURNAL OF PALLIATIVE CARE, 18/08/2020, Pagination inconnue

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The effect of frailty on survival in patients with covid-19 (COPE) - a multicentre, European, observational cohort study

HEWITT, Jonathan ; CARTER, Ben ; VILCHES-MORAGA, Arturo ; QUINN, Terence J. ; BRAUDE, Philip ; VERDURI, Alessia ; PEARCE, Lyndsay ; STECHMAN, Michael ; SHORT, Roxanna ; PRICE, Angeline ; COLLINS, Jemima T. ; BRUCE, Eilidh ; EINARSSON, Alice ; RICKARD, Frances ; MITCHELL, Emma ; HOLLOWAY, Mark ; HESFORD, James ; BARLOW-PAY, Fenella ; CLINI, Enrico ; MYINT, Phyo K. ; MOUG, Susan J. ; MCCARTHY, Kathryn ; COPE STUDY COLLABORATORS
The Lancet. Public health, 08/2020, vol.5, n°8, p. e444-e451

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Care homes as hospices for the prevalent form of dying - an analysis of long-term care provision towards the end of life in England

TEGGI, Diana
Social science and medicine, 01/07/2020, vol.260, Pagination inconnue

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Introducing the trajectory Touchpoint technique - a systematic methodology for capturing the service experiences of palliative care patients and their families

SUDBURY-RILEY, Lynn ; HUNTER-JONES, Philippa ; AL-ABDIN, Ahmed
BMC palliative care, 10/07/2020, vol.19, n°1, 13 p.

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Spiritual care provision to end of life patients - a systematic literature review

BATSTONE, Elizabeth ; BAILEY, Cara ; HALLETT, Nutmeg
Journal of clinical nursing, 09/07/2020, 16 p.

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Conflict before the courtroom - challenging cognitive biases in critical decision-making

JOHAL, Harleen Kaur ; DANBURY, Christopher
Journal of medical ethics, 06/07/2020, 5 p.

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Milestones - a mixed methods study of an educational intervention to improve care of the dying

MOONEY, Michelle ; BRIGHT, Rebecca ; VICKERSTAFF, Victoria ; STIRLING, Caroline ; YARDLEY, Sarah
BMJ supportive and palliative care, 06/07/2020, Pagination inconnue

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