Barry Ashpole's latest Literature Search highlights several key issues in end-of-life care, such as: access to essential medicines, investment in education & training, racial & ethnic disparities, home-based palliative care, access to palliative care in rural & remote areas, and neuro-palliative care. Also, the integration of palliative care in geriatric medicine is gaining traction. There’s more. A lot more. See the 5th edition for the full list.
Access to care
Curative to palliative care transition challenges in the intensive care unit: A narrative review. S Koutsouki, D Kosmidis. Health & Research Journal 2023; 9(3): 120-128.
This review of studies from 2012 through 2022 highlights the dramatic effect advance care planning and palliative care can have in reducing health care costs and improving patient outcomes.
Pediatric oncology, palliative care and low- or middle- income countries: A call for action. MF Siddiqui, L Nohra, M Saleh, K Thakkar, R Trivedi, SN Moujally, et al. Global Pediatric Health 2023. Online July 21, 2023. DOI: 10.1177/2333794X231188
This study's recommendations may improve information provided by medical professionals to patients and families. "LMICs have the potential to improve overall treatment and outcomes for child cancer patients and their families by prioritizing the integration of palliative care, guaranteeing a compassionate and dignified attitude toward the disease."
Education & Training
New ways to impact primary palliative care practices using online continuing education. C Berke, S Mollman, A Skogland, B Pravecek, M Perrenoud, C Stewart. Palliative Care & Social Practice. 2023. Online July 30, 2023. DOI: 10.1177/26323524231179
"The continuing education modules on cultural aspects and self-care had the biggest influence on participants’ ability to improve patient outcomes. Cultural aspects, care of the actively dying, and advance care planning had the greatest impact on participants’ knowledge, competence, and performance."
Nursing
A systematic review of educational interventions to equip health and social care professionals to promote end-of-life supportive care when a parent with dependent children is dying with cancer. S Sheehan, JR Hanna, A Brury, T McCance, CJ Semple, C O'Neill. Seminars in Oncology Nursing 2023. Online July 21, 2023. DOI: 10.1016/j.soncn.2023.151474
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