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The use of behavioural theories in end-of-life care research - a systematic review

SCHERRENS, Anne-Lore ; BEERNAERT, Kim ; ROBIJN, Lenzo ; DELIENS, Luc ; PAUWELS, Nele S. ; COHEN, Joachim ; DEFORCHE, Benedicte
PALLIATIVE MEDICINE, Sage publications, 06/2018, vol.32, n°6, 1055-1077

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Top ten tips palliative care clinicians should know when caring for patients with endometrial cancer

DAVIDSON, Brittany A. ; MOSS, Haley A. ; ARQUIETTE, Jaclyn ; KAMAL, Arif H.
JOURNAL OF PALLIATIVE MEDICINE, 06/2018, vol.21, n°6, p. 857-861

Treating tobacco use in patients with incurable malignancies - should we even start the conversation?

TROUT, Susan ; GOLDSTEIN, Adam O. ; MARKS, Lawrence ; RIPLEY-MOFFITT, Carol
JOURNAL OF PALLIATIVE MEDICINE, 06/2018, vol.21, n°6, p. 746-750

Hope in hospitalized patients with terminal cancer

BACZEWSKA, Bozena ; BLOCK, Boguslaw ; KROPORNICKA, Beata ; NIEDZIELSKI, Antoni ; MALM, Maria ; ZWOLAK, Agnieszka ; MAKARA-STUDZINSKA, Marta
International journal of environmental research and public health, 12/10/2019, vol.16, n°20, p. 1-10

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Between living well and dying well - existential ambivalence and keeping promises alive

FLAHERTY, Devin
DEATH STUDIES, 2018, vol.42, n°5, p. 314-321

Indian nurses’ attitudes toward euthanasia - gender differences

VIJAYALAKSHMI, P. ; NAGARAJAIAH ; DHARMA REDDY, P. ; SURESH, B. M.
OMEGA JOURNAL OF DEATH AND DYING, 2018, vol.78, n°2, p. 143-160

Fidelity is fundamental - intervention predictors in advance care plans in terminal cancer

VACCARO, Lisa ; BUTOW, Phyllis N. ; LEE, Deborah ; JOHNSON, Stephanie B. ; BELL, Melanie ; CLAYTON, Josephine ; DETERING, Karen Margaret ; TATTERSALL, Martin
BMJ supportive and palliative care, 19/09/2019, Pagination inconnue

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Evaluating the pharmacological management of terminal delirium in imminently dying patients with and without the comfort measure order set

SUTHERLAND, Megan ; STILOS, Kalli Kalliopi
JOURNAL OF HOSPICE AND PALLIATIVE NURSING, 10/2019, vol.21, n°5, p. 430-437

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Assessing the decision-making capacity of terminally ill patients with cancer

KOLVA, Elissa ; ROSENFELD, Barry ; SARACINO, Rebecca
The American journal of geriatric psychiatry, 01/01/2018, vol.26, n°5, p. 523-531

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Failure to provide adequate palliative care may be medical neglect

LEVY, Carly ; WEEKS, Kristin S. ; BENSON, Rebecca J. ; MILLER, Jonathan M. ; HIGGINS, Jennifer ; DEUTSCH, Stephanie Anne ; LANTOS, John D.
Pediatrics, 10/2019, vol.144, n°4, Pagination inconnue

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Simulation to improve medical student confidence and preparedness to care for the dying - a feasibility study

WELLS, Geoffrey ; MONTGOMERY, Julia ; HIERSCHE, Andreas
BMJ supportive and palliative care, 28/08/2019, Pagination inconnue

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Thème : Formation.

SIMULATION SANTE ; ETUDIANT ; MEDECINE ; PHASE TERMINALE ; ETAPE MOURIR

BACKGROUND: Undergraduate teaching currently fails to adequately prepare doctors to deliver 'end-of-life' care. Despite much evidence supporting simulation-based teaching, its use in medical undergraduate palliative and 'end-of-life' care curricula remain low.
AIM: This study assesses whether simulation can improve the confidence and preparedness of medical students to provide holistic care to dying patients and their families, from clinical assessment to symptom management, communication and care after death.
METHODS: Six fourth-year medical students undertook individual simulations involving a dying patient (high-fidelity simulator) and family member (actor). Intentional patient death occurred in four of the six scenarios (although unexpected by students). Pre-simulation/post-simulation thanatophobia questionnaires measured student attitudes towards providing care to dying patients. Thematic analysis of post-simulation focus group transcripts generated qualitative data regarding student preparedness, confidence and value of the simulations.
RESULTS: Thematic analysis revealed that students felt the simulations were realistic, and left them better prepared to care for dying patients. Students coveted the 'safe' exposure to dying patient scenarios afforded by the simulations. Observed post-simulation reduction in mean thanatophobia scores was not found to be statistically significant (p=0.07).
CONCLUSIONS: Results suggest a feasible potential for simulations to influence undergraduate medical student teaching on the care of a dying patient and their family. We believe that this study adds to the limited body of literature exploring the value of simulation in improving the confidence and preparedness of medical students to provide 'end-of-life' care. Further research into the cost-effectiveness of simulation is required to further support its application in this setting.

Origine : PubMed

Exploring health care providers' perceptions about home-based palliative care in terminally ill cancer patients

HEYDARI, Heshmatolah ; HOJJAT-ASSARI, Suzanne ; ALMASIAN, Mohammad ; PIRJANI, Pooneh
BMC palliative care, 06/08/2019, vol.18, n°1, p. 1-9

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Ces malades encore vivants

ANDRIEU, Bernard ; SANTOS, Rita Gameiro
ASP LIAISONS, 06/2019, n°58, p. 9-13

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Prise en charge d’une insuffisance rénale terminale chez un jeune polyhandicapé - obstination déraisonnable ou perte de chance ?

FONTAINE, Isabelle
MEDECINE PALLIATIVE, 10/2018, vol.17, n°5, p. 287-289

Neuropsychological predictors of decision-making capacity in terminally ill patients with advanced cancer

KOLVA, Elissa ; ROSENFELD, Barry ; SARACINO, Rebecca M.
Archives of clinical neuropsychology, 21/07/2019, Pagination inconnue

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"It could have been me" - an interpretive phenomenological analysis of health care providers' experiences caring for adolescents and young adults with terminal cancer

TUTELMAN, Perri R. ; DRAKE, Emily K. ; URQUHART, Robin
Journal of adolescent and young adult oncology, 28/06/2019, Pagination inconnue

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Courses of change in good emotional preparedness for death and accurate prognostic awareness and their associations with psychological distress and quality of life in terminally ill cancer patients' last year of life

TANG, Siew Tzuh ; CHOU, Wen-Chi ; CHANG, Wen-Cheng ; CHEN, Jen-Shi ; HSIEH, Chia-Hsun ; WEN, Fur-Hsing ; CHUNG, Shih-Chi
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 02/07/2019, Pagination inconnue

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Effect of life review on quality of life in terminal patients - a systematic review and meta-analysis

HUANG, Mei-Hua ; WANG, Ruey-Hsia ; WANG, Hsiu-Hung
The journal of nursing research, 09/07/2019, p. 1-8

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Thème : Recherche - Evaluation - Méthodologie. Cote : eD15.00.02.02

QUALITE VIE ; PHASE TERMINALE ; META-ANALYSE ; RECIT VIE

BACKGROUND: Enhancing quality of life takes precedence in the terminal stage of a disease, when a cure is considered impossible and all alternative methods to prevent disease progression have been exhausted. Life review, involving appreciating accomplishments and resolving conflicts, is widely considered to be an effective approach to bringing peace to terminal patients.
PURPOSE: This study was conducted to assess the effects of life review on quality of life in terminal patients.
METHODS: The Cochrane Library, PubMed, MEDLINE, CINAHL, CEPS, and ProQuest databases were searched for original studies published between 2007 and July 2018. Studies that used experimental designs to assess the effects of life review on quality of life in terminal patients, involved patients aged >18 years, and were published in English or Chinese were considered eligible for inclusion. Studies that measured quality of life in individuals other than patients as well as unpublished papers or data were excluded. The search terms used included "life review," "end of life," "terminal or terminally ill," "advanced cancer," "palliative," "hospice," and "quality of life." The quality of each included study was assessed using the Downs and Black checklist.
RESULTS: Six studies with 296 patients were included in the review. The participants in the included studies were from multiple countries. Life review was found to affect quality of life significantly (95% CI [0.147, 0.668], Z = 3.062, p < .05). The selected studies exhibited moderate heterogeneity (I = 42.407, p > .1).
CONCLUSIONS: Life review was found to affect quality of life significantly in the participants in the included studies. The feasibility and safety of applying life review interventions should be considered for terminal patients, and implementers of these interventions should be trained and qualified. Only a few studies in the literature have evaluated the effects of life review therapy in terminal patients. Further studies that use stricter selection criteria are necessary to evaluate the efficacy of the life review intervention before its adoption in clinical practice.

Origine : PubMed

Advance directive preferences among terminally ill older patients and its facilitators and barriers in China - a scoping review

LIAO, Jing ; WU, Bei ; NI, Ping ; MAO, Jing
Journal of the American Medical Directors Association, 04/07/2019, Pagination inconnue

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Randomized controlled trial of the effectiveness of three different oral moisturizers in palliative care patients

KVALHEIM, Siri F. ; MARTHINUSSEN, Mihaela C. ; HAUGEN, Dagny F. ; BERG, Einar ; STRAND, Gunhild V. ; LIE, Stein-Atle
European journal of oral sciences, 20/07/2019, p. 1-8

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