Considering palliative and end-of-life care for people with diabetes

Smyth, Theresa; Smyth, Dion

doi:10.12968/pnur.2011.22.11.578

Cited by 2 publications

(3 citation statements)

References 32 publications

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“…Although there is no consensus on how best to identify persons with nonmalignant disease who could benefit from a palliative approach to care (35,36), worldwide efforts are being made. Prognostic indicators (17) and family physician rosters have been recommended for Canada (37) and are being utilized in the Gold Standards Framework in the United Kingdom (16,17,25). A quality registry for end-of-life care has been developed in Sweden (38).…”

Section: Discussionmentioning

confidence: 99%

“…End of life for persons with diabetes has been categorized into 3 stages, beginning with stable advanced disease, followed by impending death or organ failure and a stage of actively dying (16). The Gold Standards Framework in the United Kingdom uses 5 stages: stable, nonstable/advanced, deteriorating, terminal care/ final days, and after care (17).…”

Section: Introductionmentioning

confidence: 99%

“…Persons with diabetes for whom it would not be surprising if their death occurred within 6 to 12 months should be given the opportunity to develop an advance care plan and to be educated about the relative importance of relaxed blood glucose control and monitoring in the future (7,16). In the very last days of life, withdrawal of antihyperglycemic agents, including insulin, is advised (7) or is discretionary, with withdrawal for type 1 diabetes being a clinical decision (16) related to evolving goals of care.…”

Section: Introductionmentioning

confidence: 99%

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Identifying Persons with Diabetes Who Could Benefit from a Palliative Approach to Care

Johnston

Lethbridge

Talbot

et al. 2015

Canadian Journal of Diabetes

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Rates of palliative enrollment for persons with diabetes are increasing. Diabetes care providers need to prepare patients and their families for changes in diabetes management that will be beneficial as end of life approaches. Collaboration among chronic disease programs, palliative care and primary care is advised to identify persons at end of life who have diabetes and to develop and implement care guidelines for this population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Identifying Persons with Diabetes Who Could Benefit from a Palliative Approach to Care

Johnston

Lethbridge

Talbot

et al. 2015

Canadian Journal of Diabetes

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Healthcare professionals’ experiences of providing palliative care for patients with diabetes – a qualitative study

Seim,

Monsen,

Kolltveit

et al. 2024

BMC Palliat Care

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Background At present, there are no specific guidelines for the treatment of diabetes in palliative care in Norway. The aim of this study was therefore to explore healthcare professionals’ experiences of providing palliative care to individuals with diabetes in specialist as well as primary care settings. Methods We interviewed 12 healthcare professionals from two palliative care units in specialist healthcare, one hospice unit in a nursing home, and one dietary care unit providing counselling in the municipality in the eastern part of Norway. Thematic analysis was used to analyze the data. Results Our analysis generated three main themes: 1) “Quality of life is the main focus”, which showed that the healthcare professionals’ main focus was on comforting patients through engagement and communication; 2) “An individualized approach”, emphasizing that the treatment was tailored to the unique circumstances of each individual and considered factors such as life expectancy, difficult blood glucose control, and multidisciplinary collaboration, and 3) “Diabetes in the background”, which highlighted that they had a modest focus on diabetes. Diabetes was seen as another aspect of health that they had to be aware of, but their limited knowledge of diabetes guidelines, technical tools, and treatment choices underscored that attentiveness to the diabetes treatment was not prominent. Conclusion The findings show that a lack of guidelines allowed for diverse approaches to the treatment of patients with diabetes in palliative care. Attentiveness to diabetes was based on the individual healthcare professionals’ experience and expertise, professional views, and the circumstances of each individual.

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Considering palliative and end-of-life care for people with diabetes

Cited by 2 publications

References 32 publications

Identifying Persons with Diabetes Who Could Benefit from a Palliative Approach to Care

Identifying Persons with Diabetes Who Could Benefit from a Palliative Approach to Care

Healthcare professionals’ experiences of providing palliative care for patients with diabetes – a qualitative study

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