Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Terminally-ill patients often denied chance to die at home

07.05.2007
Many terminally-ill patients cannot die at home because of a lack of services and training in palliative care, say researchers from the University of Warwick. Fewer and fewer people are dying at home and the most recent national statistics show only 22 per cent of cancer deaths occur there.

Jeremy Dale, Professor of Primary Care at Warwick Medical School, and Honorary Clinical Senior Lecturer Daniel Munday are co-authors of a discussion paper, which features in the May issue of the Journal of the Royal Society of Medicine.

The article says the home death rate has continued to fall despite the rise in community palliative care services over the last 20 years in the UK. The authors highlighted a recent UK government White Paper, Building on the Best: Choice Responsiveness and Equity in the NHS, which proposed that all adult patients nearing the end of their lives should have the same access to high-quality palliative care so they can choose to die at home.

However, Professor Dale explained for a choice to be meaningful, it had to involve at least two high-quality options. He said: “The healthcare professional may feel it particularly difficult to discuss preferred place of death with a patient when providing adequate community services or securing admission to a hospice is not possible. Preferred place of death may be a hollow concept and promise of choice a cruel sham if services are not available because of a lack of funding or other resources.

“Whilst simplistic rhetoric promising patients a planned death is seductive, the reality may be that the complex, uncontrollable nature of the dying process exposes real choice as being fool’s gold.”

Patients and families need to be empowered and there should be better training for health professionals working in palliative care. The authors are calling for more research funding to address the problems.

Dr Dan Munday added: “Each individual patient’s expectations of the dying process and the way this shapes their wishes is unique. Helping patients to identify and articulate their preferences, and how these evolve in response to the patient’s changing condition, requires well-developed communication skills, including considerable sensitivity to differences in values.”

Peter Dunn | alfa
Further information:
http://www.warwick.ac.uk

More articles from Health and Medicine:

nachricht A whole-body approach to understanding chemosensory cells
13.12.2017 | Tokyo Institute of Technology

nachricht Research reveals how diabetes in pregnancy affects baby's heart
13.12.2017 | University of California - Los Angeles Health Sciences

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Long-lived storage of a photonic qubit for worldwide teleportation

MPQ scientists achieve long storage times for photonic quantum bits which break the lower bound for direct teleportation in a global quantum network.

Concerning the development of quantum memories for the realization of global quantum networks, scientists of the Quantum Dynamics Division led by Professor...

Im Focus: Electromagnetic water cloak eliminates drag and wake

Detailed calculations show water cloaks are feasible with today's technology

Researchers have developed a water cloaking concept based on electromagnetic forces that could eliminate an object's wake, greatly reducing its drag while...

Im Focus: Scientists channel graphene to understand filtration and ion transport into cells

Tiny pores at a cell's entryway act as miniature bouncers, letting in some electrically charged atoms--ions--but blocking others. Operating as exquisitely sensitive filters, these "ion channels" play a critical role in biological functions such as muscle contraction and the firing of brain cells.

To rapidly transport the right ions through the cell membrane, the tiny channels rely on a complex interplay between the ions and surrounding molecules,...

Im Focus: Towards data storage at the single molecule level

The miniaturization of the current technology of storage media is hindered by fundamental limits of quantum mechanics. A new approach consists in using so-called spin-crossover molecules as the smallest possible storage unit. Similar to normal hard drives, these special molecules can save information via their magnetic state. A research team from Kiel University has now managed to successfully place a new class of spin-crossover molecules onto a surface and to improve the molecule’s storage capacity. The storage density of conventional hard drives could therefore theoretically be increased by more than one hundred fold. The study has been published in the scientific journal Nano Letters.

Over the past few years, the building blocks of storage media have gotten ever smaller. But further miniaturization of the current technology is hindered by...

Im Focus: Successful Mechanical Testing of Nanowires

With innovative experiments, researchers at the Helmholtz-Zentrums Geesthacht and the Technical University Hamburg unravel why tiny metallic structures are extremely strong

Light-weight and simultaneously strong – porous metallic nanomaterials promise interesting applications as, for instance, for future aeroplanes with enhanced...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

See, understand and experience the work of the future

11.12.2017 | Event News

Innovative strategies to tackle parasitic worms

08.12.2017 | Event News

AKL’18: The opportunities and challenges of digitalization in the laser industry

07.12.2017 | Event News

 
Latest News

A whole-body approach to understanding chemosensory cells

13.12.2017 | Health and Medicine

Water without windows: Capturing water vapor inside an electron microscope

13.12.2017 | Physics and Astronomy

Cellular Self-Digestion Process Triggers Autoimmune Disease

13.12.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>