Literature Review

What contributes to promote sexual health in cancer palliative care? A realist reviewSexual Medicine Reviews, by Donz Roxane, Russia Bruno, Barbaret Cécile, Debbie Braybrook, Perceau-Chambard Elise, Reverdy Thibaut, Economos Guillaume; 3/24.[France, UK] Of the 2056 articles identified, 38 articles were included in the review. The data reported in these articles contributed to 7 CMO hypotheses: (1) improving communication skills, (2) healthcare provider training, (3) reorganizing the patient environment in care settings or at home, (4) managing sexual symptoms and also general symptoms, (5 and 6) patient-centered counseling or couple counseling, and (7) lifting the taboo.

Empowering young voices: Navigating the complexities of minors in healthcare decisionsEuropean Journal of Pediatrics, by J Peter de Winter, Jaan Toelen, Gregorio Paolo Milani; 3/24The inclusion of children in healthcare decisions is a crucial element that requires attention to ethical, legal, and psychological considerations. Balancing autonomy with welfare interests and parental involvement is a significant challenge in pediatric healthcare ethics.

Roscommon nurse sets out on epic cycle to Australia Roscommon Herald; 3/10/24 A 25-year-old County Roscommon nurse set out on his 23,000km cycle from his home in Arigna to Australia this morning, Sunday, March 10th. Fergal Guihen began his 23,000km cycle from Roscommon to Australia this morning. It will take him a total of 11 months to complete the challenge. Fergal, a general nurse at Sligo General Hospital, will reach Australia in February of 2025. In the process, he’s raising funds for  Mayo Roscommon Hospice Foundation.Editor's Note: 23,000km = 14,300 miles. This translates to approximately 5.12 bike rides between New York City and Los Angeles. 

The impact of early palliative care interventions on the utilization of medical care resources for end-of-life patientsResearch Square (not peer reviewed; under review by BMC Palliative Care), by Chia-Chia Lin, Tsing-Fen Ho, Chang-Hung Lin, Nu-Man Tsai Tsai, Yu-Hung Kuo, Ju-Huei Chien; 2/12/24(Taiwan) Patients at the end-of-life who received palliative care experienced a reduced incidence of aggressive medical interventions before death. These encompassed activities such as stays in the intensive care unit, cardiopulmonary resuscitation, endotracheal intubation, respiratory ventilator support, and blood transfusions.

Leadership core competencies in palliative care — Recommendations from the European Association for Palliative Care: Delphi StudyJournal of Palliative Medicine, by Olivia Parczyk, Gerrit Frerich, Martin Loučka, Raymond Voltz, Sheila Payne; 2/14/24The eight domains [of leadership: research, advocacy and media, communication, teamwork, project management, organizational learning and sustainability, leading change, and personal traits] provide evidence for teaching of leadership competencies in palliative care. We recommend that exploring, identifying, and integrating leadership competencies in palliative care are given more attention in educational curricula and in training interventions.

End-of-life care for children: making it possible to die at homeNursing Times, by Jill Davies; 2/5/24UK - A children’s community nursing team collaborated with an adult palliative care urgent-response service to provide 24-hour end-of-life care for paediatric patients. This made dying at home a realistic option for these patients, which had not previously been the case.

The power of the patient’s voice: Enhancing end-of-life careMedriva, by Ayanna Amadi; 1/31/24End-of-life care is a delicate and complex area of healthcare, requiring a balanced blend of clinical expertise, emotional sensitivity, and communication skills. The End-of-Life Essentials team at Flinders University has created a stirring video titled ‘The Patient’s Perspective,’ focusing on the importance of patient input in improving end-of-life care. The video presents a moving narrative from the vantage point of a patient dealing with serious illness, highlighting the profound impact of healthcare staff interactions.

Ethical issues in pain and palliationCurr Opin Anaesthesiol, by Marco Cascella, Alessandro Laudani, Giuliana Scarpati, Ornella Piazza; 1/30/24Summary: Palliative care in the ICU should involve a multidisciplinary team, to mitigate patients suffering and futility. Providing spiritual support in the ICU is an important aspect of holistic patient care too. Increasingly sophisticated tools for diagnosing and treating pain, as those involving artificial intelligence, might favour disparities in access, cause informed consent problems, and surely, they need prudence and reproducibility. Pain clinicians worldwide continue to face the ethical dilemma of prescribing opioids for patients with chronic noncancer pain. Balancing the need for effective pain relief with the risk of opioid misuse, addiction, and overdose is a very controversial task.

Navigating compassion: A comprehensive review of palliative care in respiratory medicineCureus (India), by Ulhas Jadhav, Jay Bhanushali, Arman Sindhu, Bingu Shiv Kiran Reddy; 12/23.Palliative care has emerged as a crucial aspect of comprehensive healthcare, particularly in respiratory medicine. This review navigates the intricate landscape of palliative care in the context of respiratory diseases, including chronic obstructive pulmonary disease (COPD), idiopathic pulmonary fibrosis (IPF), and lung cancer.

Timing of prognostic discussions in people with advanced cancer: a systematic reviewSupport Care Cancer, by Sharon H Nahm, Shalini Subramaniam, Martin R Stockler, Belinda E Kiely; 1/23/24Conclusions: Prognostic discussions with people with advanced cancer need to be individualised, and there are several key timepoints when doctors should attempt to initiate these conversations. These recommended timepoints can inform clinical trial design and communication training for doctors to help improve prognostic understanding.

The psychological experience of grandparents: proposal of a qualitative clinical assessment tool in pediatric palliative careClin Pract, by Alexandra Jóni Nogueira and Maria Teresa Ribeiro; 1/4/24Compared to parental caregivers and healthy siblings, grandparents are underexplored in the literature and clinical practice. The aim of the present study is to propose a psychological experience assessment tool of grandparents in this context. 

Construction of Hospice Care evaluation system for terminally ill patients in ICUPubMed, Patient Prefer Adherence, by Qin-Ling Wang et.al; 1/10/24Conclusion: In this study, three rounds of Delphi consultation methods were used to construct an evaluation index system for the nursing quality of hospice care for ICU patients. The evaluation indicators formulated closely focus on the physiological and psychological characteristics of ICU patients, which can provide a better reference for ICU patients with advanced life in the future.

Feds must decide whether 'all Canadians' have right to assisted dyingThe Canadian Press; 1/8/24A senator who pushed for people with mental illness to be able to seek a medically assisted death says the federal government must decide whether it will "allow all Canadians" their choice of end-of-life care.