Navigation Links
Critically Ill patients ill-equipped to handle end-of life matters

KINGSTON, Ont. –Terminally-ill patients in Canada are not adequately prepared to deal with end-of-life issues- matters concerning resuscitation after a heart attack //or other life-threatening medical complication, says Queen's University professor of Medicine Daren Heyland. A national study has found that only a miniscule number of patients were prepared regarding the different options available to turn the situation around, especially when patients’ condition goes out of hand.

"And if they do have these discussions, elderly patients are ill-equipped to participate in such discussions and to make such decisions," says Dr. Heyland. "The majority of patients do not know much about the process or expected outcomes of resuscitation."

In the study, face-to-face questionnaires were administered at five Canadian hospitals to older patients with end-stage cancer and advanced medical diseases, and where possible to one of their family members. Participants were asked about their information needs regarding the use of CPR as a means of keeping them alive, as well as the decision-making process and the role they wished to play in making this decision.

The Queen's study also underlines the important role of family members, who say they want to be informed and involved in the discussions and decision-making, he adds. Almost 60 per cent of patients and 81 per cent of family members prefer some degree of shared decision-making that includes the family member(s).

"Strategies that improve understanding of resuscitation in the hospital context and that foster discussions between patients, their family members, and physicians may improve the quantity and quality of communication and decision-making at the end of life," Dr. Heyland suggests.

The new findings are published in the September issue of the international journal CHEST, the publication of the American College of Chest Physicians. Also on the research team from Queen' s are: Dianne Groll (Psychiatry/Medicine), Deb Pichora (Medicine), and Chris Frank (Geriatrics).

Dr. Heyland heads a national research group on palliative and end-of-life care initiatives located at Queen's and McMaster, with affiliates at other Canadian universities and hospitals. Funded by the Canadian Institutes of Health Research (CIHR), the five-year project began in 2004 and focuses on care in hospitals, intensive care units and home settings.

This is one of five studies undertaken by the team. They are examining how satisfied patients are with their care; how they make decisions about the kinds of treatments they receive at the end of life; the importance of where they die; and how aware patients are of the course of their disease and the odds of recovery.


Related medicine news :

1. Ultrasound Screening Could Improve The Outcome Of Critically ill Patients
2. Critically Ill Patients More At Risk Of Infection If Glucose Is Present In Their Lung Secretions
3. Australia In Search Of A Better Way to Handle Critically Ill Patients and Balance Elective Surgery
4. Drug Trial Goes Foul, Six Volunteers Critically Ill
5. Woman Critically Ill After Getting Wrong Blood
6. Nepals Most Influential Woman Critically Ill
7. Health Care Systems for Critically Ill Patients Need Restructuring
8. HIV infected patients can travel safely abroad
9. New vaccine helps allergy and asthma patients
10. Doctors operate upon patients in candlelight- latest from the quake scene
11. New vaccine helps allergy and asthma patients
Post Your Comments:

(Date:11/29/2015)... (PRWEB) , ... November 29, 2015 , ... While conventional ... kneeling or provide ready access to exercise weights. Fortunately, an inventor from Uniontown, Pa., ... THE TOMMY WALKER to enhance the benefits of a standard walker to improve the ...
(Date:11/29/2015)... ... November 29, 2015 , ... Key Housing, a top-rated corporate ... their December, 2015, featured apartment community: Epic. In showcasing this featured apartment community in ... tight Bay Area rental market to efficiently find housing suitable to their needs by ...
(Date:11/28/2015)... ... 28, 2015 , ... Beginning November 30th at 6:00 a.m. EST until 11:59 p.m. EST, ... possible savings of up to 20% off orders $80 or more to free gifts with ... few hours. , As a competitive e-commerce website for skin care and cosmetic needs, customers ...
(Date:11/27/2015)... CA (PRWEB) , ... November 27, 2015 , ... According ... carried out by the University of Toronto and the University of British Columbia suggested ... hospitalizations for head injuries. The article explains that part of the reason for the ...
(Date:11/27/2015)... (PRWEB) , ... November 27, 2015 , ... ... a safe and convenient way to dispense prescription medications at home, so he ... effective way to monitor and dispense prescription medications. In doing so, it could ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... Sectra (STO: SECT B) ... into a multi-year agreement to provide Breast Imaging PACS ... Breast Care to increase collaboration with sub-specialists around the ... --> Sectra (STO: SECT B) ... into a multi-year agreement to provide Breast Imaging PACS ...
(Date:11/29/2015)... AMSTERDAM , Nov. 29, 2015  Strengthening its ... (NYSE: PHG, AEX: PHIA) today announced IntelliSpace Portal ... sharing, analytics and visualization platform that helps radiologists detect, ... the 2015 Radiological Society of North America Annual ... , IntelliSpace Portal 8.0 helps address the changing demands ...
(Date:11/29/2015)... Nov. 29, 2015   Royal Philips  (NYSE: PHG, ... solutions at the 2015 Radiological Society of North America ... McCormick Place in Chicago . Visitors ... the company,s broad portfolio of integrated Diagnostic Imaging, Clinical ... increase clinical performance, improve workflow and create a superior ...
Breaking Medicine Technology: