Palliative care from diagnosis to death

Murray, Scott A; Kendall, Marilyn; Mitchell, Geoffrey; Moine, Sébastien; Amblàs-Novellas, Jordi; Boyd, Kirsty

doi:10.1136/bmj.j878

Cited by 172 publications

(119 citation statements)

References 28 publications

(35 reference statements)

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“…Palliative care is needed by populations all over the world,14 and primary care has the potential to deliver this person centred care. As we approach the first high level meeting on universal health coverage at the United Nations General Assembly in September 2019, the message for policy makers and primary healthcare professionals is clear.…”

mentioning

confidence: 99%

Primary palliative care needs urgent attention

Mitchell

Tan

Moine

et al. 2019

BMJ

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mentioning

confidence: 99%

Primary palliative care needs urgent attention

Mitchell

Tan

Moine

et al. 2019

BMJ

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“…Firstly, end-of-life care is not a specialty, it is everyone’s business [3]. Thus, substantial training at all levels of the health system must be provided to achieve a strong foundation of knowledge and confidence in effective strategies to manage the challenges of maintaining quality of life as death approaches.…”

Section: Future Policy Imperativesmentioning

confidence: 99%

Rapidly increasing end-of-life care needs: a timely warning

Mitchell

2017

BMC Med

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Current trends in population ageing show that, in the near future, while more people will live longer, more will also die at any one time. Health systems, as well as individual practitioners, are only just becoming aware of the extent of this problem. Health systems will have to rapidly change practice to manage the number of people dying in the coming years, many with complex multimorbid conditions. The changes involved should include a personal recognition by all health professionals of their role in caring for the dying, and healthcare education must include end-of-life care management as part of the core curriculum. Further, health systems must improve integration between primary care and specialist clinicians to ensure the burden is shared efficiently across the system. Finally, it should be recognised that end-of-life care is not terminal care, but should be anticipated months or sometimes years ahead through advance care planning for known future complications by the patient’s clinical team, as well as by patients and their main carers, to manage crises as they ariserather than react to them once they arise.Please see related article: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-017-0860-2.

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“…Briefly, PC can be described as a multidisciplinary approach with the goal to relieve the suffering of people with life-limiting illnesses and their families by the comprehensive assessment and treatment of physical, psychosocial, and spiritual symptoms [1,2].…”

Section: Introductionmentioning

confidence: 99%