Navigation Links
Care During Last Phase of Life Needs to Be Uplifted

Medical specialists have underlined the urgency to uplift end of life care. In the current issue of BMJ, doctors have waxed eloquent on the flaws// in the healthcare system that do not adequately care for people in the last lap of life.

Our health care systems do not reliably meet the needs of people living with serious illness in the last phase of life, write Sydney Dy and Joanne Lynn, two palliative care doctors based in the United States.

Even though contrary evidence is all around us, we use language – and build health care systems – as if disability and ill health were aberrations, rather than an expected phase that lasts months or years nearer the end of most of our lives, they say.

Yet only a few per cent of people in developed countries now die suddenly. Traditional hospital and surgical services no longer match most patients' serious chronic illnesses, a fact that calls for substantial restructuring.

And since the numbers of people living with serious chronic conditions in old age will double within the next two decades in the United States and many other countries, finding sustainable ways to improve comfort and meaningfulness in this last phase of life has become a priority.

Patients coming to the end of life tend to follow one of three trajectories, with different priorities and needs, they explain. For example, patients with a short period of decline most need continuity of care and aggressive symptom management. Those with chronic organ system failure most need disease management and advance planning, while those with long-term dementia or frailty most need support services rather than intensive treatment.

Customising and reengineering care to match the needs, rhythms, and situations of these three trajectories offers a promising way to improve outcomes for patients sick enough to die, they say. If a community can build a care system that reliably serves patients in each trajectory in t heir area, then almost everyone there could count on good care in the last phase of life. This might create a reliable care system for this fragmented and inefficient part of the health care picture.


Related medicine news :

1. Oxygen Usage During Exercise Could Indicate Heart Problems
2. Predicting The Risk Of Preeclampsia During Pregnancy
3. Drugs Taken During Pregnancy Found To Affect Unborn Babies
4. Alcohol Consumption During Pregnancy Not Safe
5. The Importance Of “ Good ”Control Of Diabetes During Pregnanc
6. The Effects Of Dental X-Rays During Pregnancy Questioned
7. The Use Of Antioxidants To Diminish Effects of Alcohol During Pregnancy Questioned
8. Oxygen Consumption During Workouts Could Indicate Heart Problems
9. Folic Acid Supplementation During Pregnancy Could Help Prevent Spina Bifida
10. Being Obese Increases Ones Risk Of A wrong Diagnosis During Medical Imaging
11. Avoiding Drugs During Pregnancy
Post Your Comments:

(Date:6/24/2016)... ... ... crisis. Her son James, eight, was out of control. Prone to extreme mood shifts and ... him, he couldn’t control his emotions,” remembers Marcy. “If there was a knife on ... say he was going to kill them. If we were driving on the freeway, ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that ... chosen by their peers for this recognition are considered among the top 2 percent ... special honors as members of this year’s Legal Elite Hall of Fame: Miami ...
(Date:6/24/2016)... ... ... Comfort Keepers® of San Diego, CA is excited to announce they are ... drive cancer patients to and from their cancer treatments. Comfort Keepers provides quality ... and ongoing independence. Getting to and from medical treatments is one of the ...
(Date:6/24/2016)... TX (PRWEB) , ... June 24, 2016 , ... People ... part in Genome magazine’s Code Talker Award, an essay contest in which patients and ... an award to be presented at the 2016 National Society of Genetic Counselors (NSGC) ...
(Date:6/24/2016)... ... 24, 2016 , ... The Haute Beauty Network, affiliated with ... as a prominent plastic surgeon and the network’s newest partner. , Dr. ... handsome men, look naturally attractive. Plastic surgery should be invisible.” He stands by ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Research and Markets has announced the addition of ... report to their offering. ... kidney failure, it replaces the function of kidneys by removing ... thus the treatment helps to keep the patient body,s electrolytes ... Increasing number of ESRD patients & substantial healthcare expenditure ...
(Date:6/23/2016)... 23, 2016 Research and Markets ... Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic ... Coating, Parenteral) - Global Forecast to 2021" report ... The global pharmaceutical excipients market is projected to ... of 6.1% in the forecast period 2016 to 2021. ...
(Date:6/23/2016)... 23, 2016 Roche (SIX: RO, ROG; OTCQX: ... its Elecsys BRAHMS PCT (procalcitonin) assay as a dedicated ... shock. With this clearance, Roche is the first IVD ... solution for sepsis risk assessment and management. ... and PCT levels in blood can aid clinicians in ...
Breaking Medicine Technology: