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.



Source-Eurekalert
SA
'"/>




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:
*Name:
*Comment:
*Email:


(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology: