Advance care planning (ACP) clarifies goals for future care if a patient becomes unable to communicate their own preferences. However, ACP uptake is low, with discussions often occurring late. This study assessed whether a systematic nurse-led ACP intervention increases ACP in patients with advanced respiratory disease.
Advance care planning (ACP), involving discussions between patients, families and healthcare professionals on future healthcare decisions, in advance of anticipated impairment in decision-making capacity, improves satisfaction and end-of-life care while respecting patient autonomy. It usually results in the creation of a written advanced care directive (ACD). This systematic review examines the impact of ACP on several outcomes (including symptom management, quality of care and healthcare utilisation) in older adults (>65years) across all healthcare settings. Read more about the study.
First off, think of what is important to you and who you would like to be your voice.
Read the article by Dr. Ed Kucharski at The Toronto Star.
A new CIHR-funded study conducted by CARENET members and researchers at the University of Calgary will develop and evaluate a family-partnered care pathway for critically ill older patients (>70 yrs.) admitted to the intensive care unit. Read a synopsis of the project.
Practicing healthcare professionals and graduates exiting training programs are often ill-equipped to facilitate important discussions about end-of-life care with patients and their families. We conducted a systematic review to evaluate the effectiveness of educational interventions aimed at providing healthcare professionals with training in end-of-life communication skills, compared to usual curriculum.
As part of the 2016 Budget, Ontario is promising to invest and additional $75 million over three years to provide patients with more options and access to palliative and end-of-life care.
A UBC researcher is pointing towards the need for oncologists to have advance care planning and end-of-life discussions with cancer patients sooner rather than later.
CARENET Director Dr. Daren Heyland was recently interviewed by ICU Management Journal about the Network and recent research projects.
Our health-care system focuses on fixing everything we can when a patient is ill. But when someone is nearing the end of life, this approach may no longer be what the patient and their families need or want most. And it may mean such patients don't receive the best care.
Canadians are likely to have many important conversations with their loved ones over the holidays, but probably most won't talk about what should happen in the event they could no longer speak or make medical decisions for themselves.
When Dr. Lenore Zou, a family physician in Dundas, Ontario, decided to participate in the Improving Advance Care Planning in General Practice (i-GAP) research project, she was looking forward to learning more about ACP and evaluating the project tools to help her patients have these conversations. And while she's found that most patients and families are receptive to the tools, she's also discovered that some are just not ready to talk.
Yesterday Dr. Daren Heyland discussed CPR in hospitals on As it Happens.
CARENET's Family Satisfaction in the ICU questionnaire was positively reviewed in Critical Care Medicine
Dr. Amy Tran recounts the death of one of her patients and how it haunts her to this day.
Advance care planning (ACP) is a communication process wherein people plan for a time when they cannot make decisions for themselves. It includes reflection, deliberation, and determination of a person's values and wishes or preferences for treatments at the end of life.
The first time I saw Jessa, she lay crumpled in the ICU bed, paralyzed, expressionless and unable to speak. A military veteran, she had fought in Desert Storm, but she now was facing a deadlier and more inexorable foe: amyotrophic lateral sclerosis (ALS), aka Lou Gehrig's disease.
Listen to the re-broadcast of the end-of-life and palliative care episode of The Current. It focuses on the importance of talking about end-of-life wishes. You can also listen to a documentary about two very different people, each facing the final chapter of their life.
The Department of Oncology, Cumming School of Medicine, University of Calgary in conjunction with CancerControl Alberta, Alberta Health Services at the Tom Baker Cancer Centre and the Clinical Departments of Oncology and Family Medicine, Calgary Zone, invite applications for a full-time academic position within the discipline of Palliative Medicine, at the Assistant Professor level or higher.
Discussions on how people want to die don't happen soon enough. Read more>
Journalist Sharon Kirkey explores end of life care in Canada's hospitals.
A new study by CARENET researchers published in CMAJ (Canadian Medical Association Journal) asked older patients and their families for their top priorities and found gaps between what patients would like and the care they actually receive.
Read more >
A new study from John You about the barriers to goals of care discussions. Read more>
New Canadian research is revealing the moral distress that nurses and doctors experience while working with critically ill patients.
Heyland DK, Pichora D, Dodek P, Lamontagne F, You JJ, Barwich D et al. The development and validation of a questionnaire to audit advance care planning. J Palliative Care Med 2012;2(5).