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
'Icebreaker' protein opens genome for t cell development, Penn researchers find
21.02.2018 | University of Pennsylvania School of Medicine
Similarities found in cancer initiation in kidney, liver, stomach, pancreas
21.02.2018 | Washington University School of Medicine
For the first time, a team of researchers at the Max-Planck Institute (MPI) for Polymer Research in Mainz, Germany, has succeeded in making an integrated circuit (IC) from just a monolayer of a semiconducting polymer via a bottom-up, self-assembly approach.
In the self-assembly process, the semiconducting polymer arranges itself into an ordered monolayer in a transistor. The transistors are binary switches used...
Breakthrough provides a new concept of the design of molecular motors, sensors and electricity generators at nanoscale
Researchers from the Institute of Organic Chemistry and Biochemistry of the CAS (IOCB Prague), Institute of Physics of the CAS (IP CAS) and Palacký University...
For photographers and scientists, lenses are lifesavers. They reflect and refract light, making possible the imaging systems that drive discovery through the microscope and preserve history through cameras.
But today's glass-based lenses are bulky and resist miniaturization. Next-generation technologies, such as ultrathin cameras or tiny microscopes, require...
Scientists from the University of Zurich have succeeded for the first time in tracking individual stem cells and their neuronal progeny over months within the intact adult brain. This study sheds light on how new neurons are produced throughout life.
The generation of new nerve cells was once thought to taper off at the end of embryonic development. However, recent research has shown that the adult brain...
Theoretical physicists propose to use negative interference to control heat flow in quantum devices. Study published in Physical Review Letters
Quantum computer parts are sensitive and need to be cooled to very low temperatures. Their tiny size makes them particularly susceptible to a temperature...
15.02.2018 | Event News
13.02.2018 | Event News
12.02.2018 | Event News
21.02.2018 | Life Sciences
21.02.2018 | Life Sciences
21.02.2018 | Materials Sciences