Objective To refine and evaluate a practical, clinical tool to help multidisciplinary teams in the UK and internationally, to identify patients at risk of deteriorating and dying in all care settings.

Background More than half of patients with a terminal diagnosis want to die at home. NICE recommend provision of injectable anticipatory medications as a way of managing symptoms and facilitating this ...

Background St Oswald’s Hospice strives to ensure high standards of communication and documentation after death, in line with Hospice UK’s Care after Death guidance, to support bereaved relatives, meet ...

Bloom CI, Slaich B, Morales DR, et al . Eur Respir J 2018;14:51. An open cohort study of patients with chronic obstructive pulmonary disease (COPD) using electronic healthcare records in the UK was ...

Objectives Most clinical teams and organisations have not openly or formally discussed how they would react if physician-assisted suicide were to be legalised. This paper aims to discuss some of the ...

Background It is common for care to be coordinated by a range of health care professionals and administration staff with varying backgrounds and experience. Many services rely on clinical judgement as ...

Background Pain is frequently an undetected cause of agitation and distress in dementia; and thus often a cause of behavioural and psychological symptom of dementia (BPSD). Despite a plethora of tools ...

Conclusion HCNS non-medical prescribing is an invaluable addition to the skill set of our team. The NMPs feel enabled to discuss and advise clinicians regarding medication and write up palliative drug ...

Background The PEACE (Proactive Elderly Advance Care) plan supports proactive planning of community care escalation through documenting patient wishes and communicating these with care stakeholders in ...

Objectives Assisted dying has been legally available in Oregon in the USA for 25 years, since when official reports have been published each year detailing the number of people who have used this ...

Objectives Patients undergoing allogeneic haematopoietic stem cell transplantation (allo-HSCT) have a higher risk of falls than those receiving other therapies for haematological disorders. This study ...

Objective To understand the unique ethical and professional challenges confronting first and second year doctors in caring for people who are dying, and to learn what factors help or hinder them in ...