Offering the best death possible: supporting people using substances at the end of life

Galvani, Sarah

doi:10.1111/add.14779

Cited by 2 publications

(5 citation statements)

References 11 publications

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“…5 Ways to improve end-of-life care of people with substance addictions requires further research, but includes developing an organisational commitment to monitor their end-of life needs. 8 Staff education could use a training exchange model where substance use and palliative care services could assist with each other's knowledge gap. 8 Nurses may play a key role in person-centred end-oflife care of a homeless person with addictions, by increasing their own knowledge of the care required and learning from other support services.…”

Section: Introductionmentioning

confidence: 99%

“…8 Staff education could use a training exchange model where substance use and palliative care services could assist with each other's knowledge gap. 8 Nurses may play a key role in person-centred end-oflife care of a homeless person with addictions, by increasing their own knowledge of the care required and learning from other support services. 5 Policy directions could strengthen this joint approach to care, but again, require further evidence.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, policies should underpin educational approaches that will equip staff with knowledge and skill to work effectively with people who use substances at the end of their life; and policies to counter stereotyping and stigma, to ensure that care is accessible for this group of people at the end of their life. 8 Thus, there remain many gaps in addressing care for people who use substances at the end of their life. Where the work of Witham et al 4 provided an important overview of the evidence in this field, this review seeks to focus attention on the experiences and perspectives of the key stakeholders in this issue -the person who uses substances, their family and friends, and the health and social service care providers.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Palliative care needs and models of care for people who use drugs and/or alcohol: A mixed methods systematic review

et al. 2022

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Background: Providing palliative care for individuals who use alcohol and/or drugs poses a multi-faceted challenge. In addition to clinical and social needs, individuals may endure mental health problems, co-morbidities and homelessness, thus requiring a multi-disciplinary, flexible approach to care. Aim: To identify the palliative care needs and models of care for people who use drugs and/or alcohol. Design: A mixed-methods systematic review was conducted using the JBI Manual for Evidence Synthesis. Data Sources: Six databases were searched to identify relevant studies. Full text review and quality appraisal were completed independently and in-duplicate by two reviewers with conflicts resolved by a third reviewer. Qualitative and quantitative data were tabulated together using narrative synthesis, then categorised according to outcomes of interest, with similar and divergent findings reported accordingly. Results: Thirteen studies were included, nine qualitative and four quantitative, using a range of data collection methods, across various settings. The difficulties for individuals who use alcohol and/or drugs as well as their formal and informal carers, in relation to end-of-life care were examined, revealing access, care and skills issues. Three themes emerged which could underpin the development of a model of care: interpersonal/organisational relationships; holistic care; and collaborating with other services and training. Conclusion: Despite end-of-life needs of this population being different to others, challenges include creating inclusive policies, sensitising staff to distinctive individual needs and training exchanges for staff working in both drug and alcohol services and palliative care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Palliative care needs and models of care for people who use drugs and/or alcohol: A mixed methods systematic review

et al. 2022

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“…Recent work in the area (Galvani, 2019) outline a number of issues which need to be considered if we are to be in a position to offer best practice advanced care planning for people who use drugs.…”

mentioning

confidence: 99%