Skip to main content

Palliative and End-Of-Life Care: Home

Collection of information sources and resources on Palliative and End-of-Life Care

Palliative & End-of-life Care - Keeping up to date

These pages provide an overview on resources for healthcare professionals and researchers who are working, researching or have an interest in Palliative and End-of-life care.                           

                    

                                                                             

 

Google Search

Google Web Search

Recent Irish Research

 Exploring the Interface of Oncology and Palliative Care in Ireland

Abstract: Aims To explore the integration and delivery of oncology led referrals to palliative care (PC) by examining physician attitudes and referral practices. Methods An online survey was circulated to oncologists and PC physicians in Ireland. Results The study (N = 100) comprised sixty-nine oncologists (69%) and thirty-one PC physicians (31%). Ninety-two(92%) believe patients with advanced cancer should receive concurrent treatment, however only 53% of oncologists(N = 37) routinely refer. Regarding end-of-life (EOL) care: 81% of oncologists (N = 55) are directly involved in its administration, despite 84% (N = 53) agreeing patients benefit when PC specialists coordinate EOL care. Conclusion The gulf between positive attitudes and limited implementation suggests the need for interdisciplinary changes to facilitate integration of PC in clinical practice in Ireland'

 

Dying in acute hospitals: voices of bereaved relatives

 Abstract: Internationally there is an increasing concern about the quality of end-of-life care (EoLC) provided in acute hospitals. More people are cared for at end of life and die in acute hospitals than in any other healthcare setting. This paper reports the views of bereaved relatives on the experience of care they and the person that died received during their last admission in two university adult acute tertiary hospitals.

 

International Research

Articles

 Palliative care nursing involvement in end-of-life decision-making: Qualitative secondary analysis

Abstract:  Background: Nurses are the largest professional group in healthcare and those who make more decisions.  The Guide does not mention nurses explicitly. Three qualitative datasets including 32 interviews from previous studies with nurses working in palliative care in Portugal. Ethical consideration:   Communication also emerged as a sensitive ethical issue; it is surprising, however, that only three nurses referred to it. Conclusion: While the Guide does not explicitly mention nurses in its content, this study shows that nurses working in palliative care in Portugal are involved in these processes. Further research is needed on nurses' involvement and practices in end-of-life decision-making.

 Exploring dimensions of social support and resilience when providing care at the end of life: A qualitative study

 Research shows that formal and informal social support can facilitate resilience in carers. There is a paucity of research exploring social support and resilience amongst recently bereaved informal carers. Social support for carers providing end of life care is almost exclusively based around end of life care ‘work’. In comparison to other research our study suggests that relationships with family and health professionals are paramount. Multidimensional support is needed for carers to enhance their resilience.

Useful Websites

National Clinical Programme for Palliative Care

This HSE  & Royal College of Physicians joint programme was established in 2010. The palliative care clinical programme aims to improve access to palliative care for all people with life-limiting conditions and their families regardless of care setting or diagnosis. 

British Medical Association - End-of-life care reports 

Reports and results of a project by the British Medical Association to examine public and medical professionals' attitudes about issues related to end-of-life care and physician-assisted dying.  

Cochrane Collaboration - Key resources on end-of-life care

A collation of key evidence and reviews from the Cochrane collaboration on issues related to palliative and end-of-life care  

National Health Library & Knowledge Service. Health Service Executive. Dr. Steevens' Hospital, Dublin 8. Tel: 01-6352555/8. Email: hselibrary@hse.ie

Disclaimer