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Tag: Palliative Care

Patients who report choosing dialysis to please doctors or family members more often report decisional regret

Decision Regret Increased for Those Who Choose Dialysis to Please Others

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Dialysis decision regret less likely for those who discuss prognosis with doctors, complete living will
For patients admitted with heart failure

Palliative Care Linked to Fewer Readmissions for Heart Failure

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Fewer readmissions, less mechanical ventilation seen with palliative care during heart failure admissions
Cancer patients with dementia are less likely to achieve a "good death" than those without

Dementia May Lower Odds of ‘Good Death’ Among Cancer Patients

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However, for patients with or without dementia, dying at home tied to greater quality of death
Patients with treatment-limiting Physician Orders for Life-Sustaining Treatment are less likely to be admitted to the intensive care unit but may not always receive treatment that is consistent with their wishes

Study Suggests Overtreatment in End-of-Life Care Despite POLST

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Rates of ICU admission lower in patients with treatment-limiting orders; 38 percent received discordant care
Compared with standard care alone

Outpatient Palliative Care Improves Parkinson Outcomes

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Additionally, some benefit is seen for certain caregiver measures
Greater palliative care development and implementation is needed worldwide

Palliative Care Services Lagging Worldwide

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More than half of world's population has poor, nonexistent access to palliative care
Inpatient palliative care teams are reaching a broader mix of patients earlier in the course of their illness

Palliative Care Reaching More Inpatients With Serious Illness

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From 2013 to 2017, more patients discharged alive, consistent with palliative care earlier in illness
Most critical care nurses feel inadequately prepared to provide palliative care

Few Critical Care Nurses Feel Competent in Providing Palliative Care

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Moral distress levels vary with perceived use of care; higher levels of distress seen with less frequent use
For patients with advanced lung cancer

Timely Palliative Care After Lung Cancer Diagnosis May Up Survival

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Palliative care at 31 to 365 days after diagnosis of advanced lung cancer linked to improved survival
More intensive patterns of end-of-life care are associated with lower family ratings of quality of care among patients with advanced chronic kidney disease

Family Dissatisfaction Greater When Intensive End-of-Life CKD Care Utilized

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Receipt of maintenance dialysis and more intensive patterns of end-of-life care linked to lower ratings