In total 88 patients, 570 proxies, 349 physicians and 389 nurses filled in the questionnaire.ResultsRespondents differed in their ideas when ACP should be initiated: While the answer most often given by relatives was that ACP should best be initiated before illness (45%), patients (42%) and ...
In practice, providers balance a profit motive and patient health and oftentimes there may be trade-offs. For instance, aggressive chemotherapy treatment of patients with cancer may lead to better survival outcomes but more adverse events; palliative care may result in suboptimal survival outcomes, ...
The conclusion of this thesis is that, as a rule, patients should be more and better informed about their prognoses, unless the patient is clearly opposed to receiving such information or otherwise not a suitable partner for dialogue. 展开 ...
Too many times in the course of palliative care work I sat with dejected people who expressed their bewilderment at having developed cancer. “I have always been a positive thinker,” one man in his late forties told me. “I have never given in to pessimistic thoughts. Why should I get ...
palliative carecommunicationprognosisend-of-life issuesThe aim of this study was to explore by whom, how, and when discussions about prognosis and end-of-life issues should be initiated with terminally ill patients, and the context in which these issues can be optimally discussed. Focus groups ...
Conclusions Transfer of care from the acute sector to the community represents a delicate crossroad where complex notions of loss should not be underestimated. A gradual transfer of care may improve this if the patient's condition allows. Therefore, introductions to the community team should be ...