Sökning: onr:"swepub:oai:DiVA.org:umu-61167" >
Issues and needs in...
Issues and needs in end-of-life decision making : An international modified Delphi study
-
Raijmakers, Natasja J. H. (författare)
-
van Zuylen, Lia (författare)
-
Costantini, Massimo (författare)
-
visa fler...
-
Caraceni, Augusto (författare)
-
Clark, Jean B. (författare)
-
De Simone, Gustavo (författare)
-
- Lundquist, Gunilla (författare)
- Umeå universitet,Onkologi
-
Voltz, Raymond (författare)
-
Ellershaw, John E. (författare)
-
van der Heide, Agnes (författare)
-
visa färre...
-
(creator_code:org_t)
- 2011-10-03
- 2012
- Engelska.
-
Ingår i: Palliative Medicine. - : SAGE Publications. - 0269-2163 .- 1477-030X. ; 26:7, s. 947-953
- Relaterad länk:
-
https://urn.kb.se/re...
-
visa fler...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: end-of-life decision making is an important aspect of end-of-life care that can have a significant impact on the process of dying and patients' comfort in the last days of life. Aim: the aim of our study was to identify issues and considerations in end-of-life decision making, and needs for more evidence among palliative care experts, across countries and professions. Participants: 90 palliative care experts from nine countries participated in a modified Delphi study. Participants were asked to identify important issues and considerations in end-of-life decision making and to rate the need for more evidence. Results: experts mentioned 219 issues in end-of-life decision making related to the medical domain, 122 issues related to the patient wishes and 92 related to relatives' wishes, regardless of profession or country (p > 0.05). In accordance, more than 90% of the experts rated the comfort and wishes of the patient and the potential futility of treatment as important considerations in end-of-life decision making, although some variation was present. When asked about issues that are in need of more evidence, 87% mentioned appropriate indications for using sedatives and effects of artificial hydration at the end of life. A total of 83% mentioned adequate communication approaches. Conclusions: palliative care experts from different professions in different countries encounter similar issues in end-of-life decision making. Adequate communication about these issues is universally experienced as a challenge, which might benefit from increased knowledge. This shared experience enables and emphasizes the need for more international research.
Nyckelord
- decision making
- expert opinion
- research priorities
- palliative care
- terminal care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Raijmakers, Nata ...
-
van Zuylen, Lia
-
Costantini, Mass ...
-
Caraceni, August ...
-
Clark, Jean B.
-
De Simone, Gusta ...
-
visa fler...
-
Lundquist, Gunil ...
-
Voltz, Raymond
-
Ellershaw, John ...
-
van der Heide, A ...
-
visa färre...
- Artiklar i publikationen
-
Palliative Medic ...
- Av lärosätet
-
Umeå universitet