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Revenues from patient encounters and establishment of an outpatient palliative care program in a community oncology practice

FRIEDMAN, Loren L.
JOURNAL OF PALLIATIVE MEDICINE, 12/2019, vol.22, n°12, p. 1594-1596

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Dis, c'est quoi l'euthanasie ?

BROTCHI, Jacques ; DEHAES, Serge
La Rennaissance du Livre , 02/2020 , 96 p.

Knowledge and awareness of end-of-life care among doctors working in intensive care units at a tertiary care center - a questionnaire-based study

AGRAWAL, Kritika ; GARG, Rakesh ; BHATNAGAR, Sushma
Indian journal of critical care medicine, 12/2019, vol.23, n°12, p. 568-573

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Improving physician well-being - lessons from palliative care

GRANEK, Leeat ; BUCHMAN, Sandy
CMAJ: Canadian medical association journal, 01/01/2019, vol.191, n°14, p. E380-E381

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Invoking death - how oncologists discuss a deadly outcome

TATE, Alexandra
Social science and medicine, 12/11/2019, vol.246, Pagination inconnue

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Swedish intensivists' experiences and attitudes regarding end-of-life decisions

NORDENSKJOLD SYROUS, Alma ; AGARD, Anders ; KOCK REDFORS, Maria ; NAREDI, Silvana ; BLOCK, Linda
Acta anaesthesiologica Scandinavica, 18/01/2020, p. 1-7

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When intensive care becomes good end-of-life care

WUNSCH, Hannah
American journal of respiratory and critical care medicine, 21/01/2020, p. 1-4

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Complexities in consultations in case of euthanasia or physician-assisted suicide - a survey among SCEN physicians

BERGMAN, Tessa D. ; PASMAN, H. Roeline W. ; ONWUTEAKA-PHILIPSEN, Bregje D.
BMC family practice, 09/01/2020, vol.21, n°1, p. 1-11

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End-of-life decision making by Austrian physicians - a cross-sectional study

JAHN-KUCH, D. ; DOMKE, A. ; BITSCHE, S. ; STÖGER, H. ; AVIAN, A. ; JEITLER, K. ; POSCH, N. ; SIEBENHOFER, A.
BMC palliative care, 04/01/2020, vol.19, n°1, p. 1-9

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Thème : Soins. Cote : eD02.03.02.00

AUTRICHE ; MEDECIN ; FIN VIE ; DECISION MEDICALE

Background: Austria has recently been embroiled in the complex debate on the legalization of measures to end life prematurely. Empirical data on end-of-life decisions made by Austrian physicians barely exists. This study is the first in Austria aimed at finding out how physicians generally approach and make end-of-life therapy decisions.
Methods: The European end-of-life decisions (EURELD) questionnaire, translated and adapted by Schildmann et al., was used to conduct this cross-sectional postal survey. Questions on palliative care training, legal issues, and use of and satisfaction with palliative care were added. All Austrian specialists in hematology and oncology, a representative sample of doctors specialized in internal medicine, and a sample of general practitioners, were invited to participate in this anonymous postal survey.
Results: Five hundred forty-eight questionnaires (response rate: 10.4%) were evaluated. 88.3% of participants had treated a patient who had died in the previous 12 months. 23% of respondents had an additional qualification in palliative medicine. The cause of death in 53.1% of patients was cancer, and 44.8% died at home. In 86.3% of cases, pain relief and / or symptom relief had been intensified. Further treatment had been withheld by 60.0%, and an existing treatment discontinued by 49.1% of respondents. In 5 cases, the respondents had prescribed, provided or administered a drug which had resulted in death. 51.3% of physicians said they would never carry out physician-assisted suicide (PAS), while 30.3% could imagine doing so under certain conditions. 38.5% of respondents supported the current prohibition of PAS, 23.9% opposed it, and 33.2% were undecided. 52.4% of physicians felt the legal situation with respect to measures to end life prematurely was ambiguous. An additional qualification in palliative medicine had no influence on measures taken, or attitudes towards PAS.
Conclusions: The majority of doctors perform symptom control in terminally ill patients. PAS is frequently requested but rarely carried out. Attending physicians felt the legal situation was ambiguous. Physicians should therefore receive training in current legislation relating to end-of-life choices and medical decisions. The data collected in this survey will help political decision-makers provide the necessary legal framework for end-of-life medical care.

Origine : PubMed

Clinicians' attitudes towards do-not-resuscitate directives in a teaching hospital in Saudi Arabia

MADADIN, Mohammed ; ALSAFFAR, Gada M. ; ALESSA, Sara M. ; KHAN, Afnan ; BADGHAISH, Dania A. ; ALGARNI, Shahad M. ; MENEZES, Ritesh G.
Cureus, 30/12/2019, vol.11, n°12, p. 1-8

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Current engagement in advance care planning in Japan and its associated factors

INOUE, Megumi ; HANARI, Kyoko ; HAMANO, Jun ; GALLAGHER, Joshua ; TAMIYA, Nanako
Gerontology and geriatric medicine, 12/2019, vol.5, p. 1-7

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Painting a rational picture during highly emotional end-of-life discussions - a qualitative study of internal medicine trainees and faculty

EL-ROUBY, Doaa ; MCNAUGHTON, Nancy ; PIQUETTE, Dominique
Journal of general internal medicine, 02/01/2020, Pagination inconnue

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Thème : Soins.

FIN VIE ; COMMUNICATION ; MEDECIN ; MEDECINE INTERNE

BACKGROUND: High-quality communication about end-of-life care results in greater patient and family satisfaction. End-of-life discussions should occur early during the patient's disease trajectory and yet is often addressed only when patients become severely ill. As a result, end-of-life discussions are commonly initiated during unplanned hospital admissions, which create additional challenges for physicians, patients, and families.
OBJECTIVE: To better understand how internal medicine attending physicians and trainees experience end-of-life discussions with patients and families during acute hospitalizations.
DESIGN: We conducted an interview-based qualitative study using an interpretivist approach. We selected participants based on purposeful maximal variation and theoretical sampling strategies. We conducted an individual, in-depth, semi-structured interview with each participant.
PARTICIPANTS: We recruited 15 internal medicine physicians with variable levels of clinical training and experience who worked in one of five university-affiliated academic hospitals.
APPROACH: Interview transcripts were analyzed inductively and reflectively. Data were grouped by themes and categories. Data collection and analysis occurred concurrently, led to iterative adjustments of the interview guide, and continued until theoretical sufficiency was reached.
KEY RESULTS: Physicians depicted end-of-life discussions as a process directed at painting a realistic picture of a clinical situation. By focusing their efforts on reaching a shared understanding of a clinical situation with patients/families, physicians self-delineated the boundaries of their professional responsibilities regarding end-of-life care (i.e., help with understanding, not with accepting or making the "right" decisions). Information sharing took precedence over emotional support in most physicians' accounts of end-of-life discussions. However, the emotional impact of end-of-life discussions on families and physicians was readily recognized by participants.
CONCLUSION: End-of-life discussions are complex, dynamic social interactions that involve multiple, complementary competencies. Focusing mostly on sharing clinical information during end-of-life discussions may distract physicians from providing emotional support to families and prevent improvements of end-of-life care delivered in acute care settings.

Origine : PubMed

The perception of Israeli oncology staff members regarding advance care planning

BAR-SELA, Gil ; BAGON, Shlomit ; MITNIK, Inbal ; BAZILIANSKY, Svetlana ; BAR-SELLA, Avigail ; VORNICOVA, Olga ; TZUK-SHINA, Tzahala
Supportive care in cancer, 03/01/2020, Pagination inconnue

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Lung transplant pulmonologists' views of specialty palliative care for lung transplant recipients

NOLLEY, Eric ; FLECK, Jessica ; KAVALIERATOS, Dio ; DEW, Mary Amanda ; DILLING, Daniel ; COLMAN, Rebecca ; CRESPO, Maria M. ; GOLDBERG, Hiliary ; HAYS, Steven ; HACHEM, Ramsey ; LEASE, Erika ; LEE, James ; REYNOLDS, John ; MORRELL, Matthew ; SCHENKER, Yael
JOURNAL OF PALLIATIVE MEDICINE, 02/01/2020, Pagination inconnue

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Comparison of the perspective of a "good death" in older adults and physicians in training at university hospitals

LIMPAWATTANA, Panita ; SRINONPRASERT, Varalak ; MANJAVONG, Manchumad ; YONGRATTANAKIT, Kongpob ; KAIYAKIT, Sawadee
Journal of applied gerontology, 31/12/2019, Pagination inconnue

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Death

The Yale journal of biology and medicine, 12/2019 , vol.92, n°4, Pagination inconnue

A report of physicians' beliefs about physician-assisted suicide - a national study

HETZLER, Peter T. ; NIE, James ; ZHOU, Amanda ; DUGDALE, Lydia S.
The Yale journal of biology and medicine, 12/2019, vol.92, n°4, p. 575-585

Culture and personal influences on cardiopulmonary resuscitation - results of international survey

OZER, Janet ; ALON, Gadi ; LEYKIN, Dmitry ; VARON, Joseph ; AHARONSON-DANIEL, Limor ; EINAV, Sharon
BMC medical ethics, 26/12/2019, vol.20, n°1, p. 1-8

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Junior doctors' experience of interprofessional shadowing in a palliative care setting

CHEN, Yan ; WHEARTY, Lauren ; WINSTANLEY, Diane ; FOURIE, Dean ; ROSE, Marie ; HENNING, Marcus A.
Journal of interprofessional care, 13/12/2019, p. 1-3

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Factors which influence hospital doctors' advance care plan adherence

PATRICIA CRAIG, Denise ; RAY, Robin ; HARVEY, Desley ; SHIRCORE, Mandy
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 14/12/2019, Pagination inconnue

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