Palliative Care
Developments under assisted dying legislation: the experience in Belgium and other countries
14 Feb, 2023 | 11:02h | UTCSummary: The legalization of assisted dying (including euthanasia and physician-assisted suicide) remains a controversial issue as more countries consider such laws. A selective literature review was conducted to examine the developments globally, and the experience in Belgium was found to be instructive. Since legalization, the practice of assisted dying has increased gradually, accompanied by a growing acceptance among the public and physicians. Although fears have been largely alleviated, ongoing monitoring and research are necessary to address important concerns. Research in Belgium has not found evidence of harmful effects, but the implementation of assisted dying laws should always consider integration into the healthcare system, physician training, conscientious objection, availability of palliative care, public education, and monitoring systems. To ensure the quality of end-of-life care, it is advisable to set up monitoring and evaluation systems and carry out impartial studies. It is important to have high levels of openness and involvement with healthcare providers and the general public.
(By ChatGPT, reviewed and edited)
Perspective | Five new realities in critical care for patients with cancer
13 Feb, 2023 | 12:53h | UTCFive new realities in critical care for patients with cancer – Intensive Care Medicine
Related:
Consensus Conference: Critically ill cancer patient’s resuscitation.
Raising awareness for time-limited trial discussion upon ICU triage and admission.
Commentary on Twitter
New realities in critical care for pts with cancer
1️⃣ serious illness no longer means end of life
2️⃣ novel cancer therapies: changing outcomes but creating new diseases
3️⃣ take fresh look at ARF
4️⃣ goals of care & time‑limited trial
5️⃣ look beyond #ICU
📖 https://t.co/ZRNQD6AMIw pic.twitter.com/5QoYVSq5Br— Intensive Care Medicine (@yourICM) February 10, 2023
Consensus Paper | Use of cerebral CT angiography to support a clinical diagnosis of death using neurological criteria
10 Feb, 2023 | 13:48h | UTC
Updating international consensus on best practice in care of the dying: a Delphi study
6 Feb, 2023 | 13:41h | UTC
AHA Scientific Statement | Palliative care across the life span for children with heart disease
15 Jan, 2023 | 20:19h | UTCTop Things to Know: Palliative Care Across Lifespan for Children With Heart Disease – American Heart Association
Commentary: Palliative Care Across the Lifespan for Children with Heart Disease – American Heart Association
Review | End-of-life care in the intensive care unit
15 Jan, 2023 | 19:39h | UTCEnd-of-life care in the intensive care unit – Anaesthesia
Review | Palliative care for adolescents and young adults with advanced illness.
12 Dec, 2022 | 12:33h | UTC
Policy Statement | Palliative care early in the care continuum among patients with serious respiratory illness.
7 Dec, 2022 | 14:22h | UTC
Commentary on Twitter
Read "Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement" here: https://t.co/vMALIcwp3K pic.twitter.com/lUclouz0Dj
— American Thoracic Society (ATS) (@atscommunity) September 26, 2022
Phase 2b RCT | Cannabidiol oil failed to relieve symptoms in advanced cancer.
1 Dec, 2022 | 14:04h | UTCRelated:
Systematic Review: Cannabis-based products for chronic pain.
Podcast: #338 LIVE! Medical Cannabis: Is it still dope? – The Curbsiders
M-A: Birth outcomes of neonates exposed to marijuana in utero.
Cannabis-related allergies: an international overview and consensus recommendations.
Review: Cannabis-based medicines and medical cannabis for chronic neuropathic pain.
Cannabis products are being sold as sleep remedies – here’s the evidence about their effectiveness.
Guideline: Medical cannabis or cannabinoids for chronic pain.
NICE Guideline: Cannabis-Based Medicinal Products
Short Review: Drug Interactions with Cannabinoids
Meta-Analysis: Cannabinoids Not Effective for Cancer-Related Pain
Review: Considerations for cannabinoids in perioperative care by anesthesiologists.
Review: Cannabis-based Medicines and the Perioperative Physician
Perspective: If You Smoke Pot, Your Anesthesiologist Needs To Know
Brief Review | Tailoring treatments to older people in intensive care. A way forward.
29 Nov, 2022 | 13:51h | UTCTailoring treatments to older people in intensive care. A way forward – Intensive Care Medicine
Commentary on Twitter
Treating older pts in #ICU?
➡️ subgroup growing fast(est)
➡️ outcomes not so poor, but appropriateness context-specific
➡️clusters w similar clinical/prognostic profiles described: most appropriate interventions for them?
📎 https://t.co/iVp5A1gqoQOn
📎 https://t.co/WzN4L4LNt7 pic.twitter.com/2pcAEjmgmy— Intensive Care Medicine (@yourICM) November 11, 2022
Clinical practice guidelines on palliative sedation around the world: a systematic review.
29 Nov, 2022 | 13:43h | UTC
Cohort Study | A collaborative home-based palliative care intervention for patients with heart failure reduced the risk of dying in the hospital.
13 Oct, 2022 | 13:37h | UTCCommentary: Home-Based Palliative Care for Heart Failure May Cut Risk for Dying in Hospital – HealthDay
Commentary on Twitter
Patients who received home-based, interdisciplinary palliative care were more likely to die at home than in hospital, compared to those who received usual care: https://t.co/JsLvANgcPK@kieranlquinn @PTanuseputro @sarina_isenberg #PalliativeCare #HeartFailure pic.twitter.com/6rOPtYQw2h
— CMAJ (@CMAJ) September 26, 2022
RCT | Effect of the family-centered advance care planning for teens with cancer intervention on sustainability of congruence about end-of-life treatment preferences.
22 Sep, 2022 | 13:02h | UTCNews Release: Advance care planning for adolescents with cancer – University of Minnesota
Commentary: Study Examines Effects of Advance Care Planning for Adolescents With Cancer – The ASCO Post
Commentary on Twitter
Results of this trial showed that, for those who received the FACE®-TC intervention, the families’ knowledge of their adolescents’ end-of-life treatment preferences was sustained for 1 year, suggesting yearly follow-up sessions. @ChildrensNatl #EOL https://t.co/dngUhFQ5vQ
— JAMA Network Open (@JAMANetworkOpen) July 12, 2022
RCT | Dexamethasone is not effective for the treatment of dyspnea in patients with cancer and increases the risk of adverse events.
13 Sep, 2022 | 13:22h | UTCEffect of dexamethasone on dyspnoea in patients with cancer (ABCD): a parallel-group, double-blind, randomised, controlled trial – The Lancet Oncology (free for a limited period)
Commentary on Twitter
Our phase III randomized study, published in Lancet Oncology today, showed high-dose steroid didn’t improve SOB and should not be used routinely in pts with lung ca for SOB palliation. My personal link in Lancet Oncology article ⁰https://t.co/Mj0AAzMujB pic.twitter.com/FMG7csHZsn
— Joe Y Chang (@JoeChangMD) September 7, 2022
Opinion | People with terminal cancer need to know they are dying. Doctors shouldn’t withhold that information.
5 Sep, 2022 | 14:35h | UTC
Measuring quality of dying, death and end-of-life care for children and young people: a scoping review of available tools.
26 Aug, 2022 | 13:14h | UTC
Talking about dying: better conversations at the end of life.
17 Aug, 2022 | 14:14h | UTCTalking about dying: better conversations at the end of life – Evidently Cochrane
Original Reviews:
Commentary on Twitter
New @CochraneUK blog: @SarahChapman30 reflects on text conversations she had with her Mum’s carer when her Mum was dying during lockdown & explores recent evidence on good communication between health professionals, those who are dying & their families: https://t.co/WzA1Ff8jdF pic.twitter.com/fSlRyEOVym
— The Cochrane Library (@CochraneLibrary) August 16, 2022
Addressing palliative care and end-of-life issues in patients with advanced cancer: a systematic review of communication interventions for physicians not specialized in palliative care.
20 Jul, 2022 | 11:40h | UTC
How doctors manage conflicts with families of critically ill patients during conversations about end-of-life decisions in neonatal, pediatric, and adult intensive care.
4 Jul, 2022 | 12:13h | UTCRCT: Effect of a community health worker intervention on acute care use, advance care planning, and patient-reported outcomes among adults with advanced stages of cancer.
1 Jul, 2022 | 10:58h | UTCEffect of a Community Health Worker Intervention on Acute Care Use, Advance Care Planning, and Patient-Reported Outcomes Among Adults With Advanced Stages of Cancer: A Randomized Clinical Trial – JAMA Oncology (free for a limited period)
See also: Visual Abstract
Consensus Recommendations: How-to guide for medication reviews in older adults with cancer.
14 Jun, 2022 | 10:58h | UTCRelated: Deprescribing in Palliative Cancer Care – Life
Integrating palliative care into the ICU: a lasting and developing legacy.
19 May, 2022 | 10:52h | UTCIntegrating palliative care into the ICU: a lasting and developing legacy – Intensive Care Medicine
Commentary on Twitter
Palliative care in #ICU, 3 recommendations
1️⃣ implement consensus & disseminate skills/training
2️⃣ identify & implement strategies to identify pts/families who would benefit most
3️⃣ deliver/integrate primary/specialty palliative care focused on function
🖇 https://t.co/jtnYotNMgJ pic.twitter.com/Ga4J9tpRdx— Intensive Care Medicine (@yourICM) May 17, 2022
Palliative care: An update for internists.
19 May, 2022 | 10:33h | UTCPalliative care: An update for internists – Cleveland Clinical Journal of Medicine
An expert panel Delphi consensus statement on the use of palliative care in the management of patients with pulmonary arterial hypertension.
5 May, 2022 | 10:17h | UTC
Review: Integrating palliative care into the modern cardiac intensive care unit.
3 May, 2022 | 10:45h | UTC