Using illness trajectories to inform person centred, advance care planning

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

doi:10.1136/bmj-2021-067896

Cited by 6 publications

(3 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The four steps in a dynamic cycle of multidimensional assessment and holistic care planning are identify, assess, plan, and coordinate care 2. Healthcare providers are often unreliable at identifying those at highest risk of deterioration, particularly in non-cancer populations 7.…”

Section: Using Analytics To Drive the Cycle Of Care Planningmentioning

confidence: 99%

“…Murray et al explain how declines in function do not always mirror declines in social, psychological, and spiritual dimensions. They also add a new trajectory, multimorbidity, to describe a person with conditions from multiple trajectories (such as heart disease from organ failure and cognitive impairment from frailty) 2. Geijteman et al describe how people with cancer are increasingly defying the traditional trajectory of rapid decline seen in terminal illness because of newly available disease modifying treatments such as targeted therapy and immunotherapy 3.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Illness trajectories in the age of big data

Tanuseputro,

Webber,

Downar

2024

BMJ

View full text Add to dashboard Cite

show abstract

Section: Using Analytics To Drive the Cycle Of Care Planningmentioning

confidence: 99%

mentioning

confidence: 99%

Illness trajectories in the age of big data

Tanuseputro,

Webber,

Downar

2024

BMJ

View full text Add to dashboard Cite

show abstract

“…Scott Murray and colleagues now propose a fourth trajectory to understand the lives of people with multimorbidity (doi:10.1136/bmj-2021-067896). 1 Illness trajectories consider physical, social, psychological, and spiritual dimensions of wellbeing, which are best depicted in graphical form. The trajectory for multimorbidity shares some of the features of intermittent and gradual decline.…”

mentioning

confidence: 99%

How to model life’s trajectory from major diagnosis to death

Abbasi

2024

BMJ

View full text Add to dashboard Cite

Centering Patients and Evidence in Debates About Medical Assistance in Dying

Stall,

Gross

2024

JAMA Intern Med

View full text Add to dashboard Cite

End-of-life care is an essential part of patient-and familycentered care. Yet the experience of dying is frequently marred by insufficient relief of symptoms, burdensome transitions between clinicians and care settings, and distress for family members and caregivers. 1 In the setting of incurable progressive or terminal illness, where death can be considered a predictable event, medical assistance in dying (MAID) has emerged as an option for end-oflife care to address these issues. 2 Specifically, MAID is an option for people with incurable illness who have intolerable suffering or a short prognosis. While the exact definition varies across jurisdictions, MAID can include either euthanasia (ending a patient's life by active drug administration) or physician-assisted suicide (providing drugs for a patient to end their own life) or both. 3 Access to legalized MAID has expanded substantially in the 21st century and is now available to nearly 300 million people worldwide. 3 Accordingly, there are growing debates about access, equity, and appropriateness of MAID across different types of underlying illness. 4 In JAMA Internal Medicine, Heidinger et al 5 analyzed available data from 20 jurisdictions with legalized MAID. Between 1985 and 2023, MAID accounted for 1.4% of all deaths across the 20 jurisdictions and less than 0.5% of deaths within the 9 US states included. Rates of MAID were found to be highest in

show abstract

Using illness trajectories to inform person centred, advance care planning

Cited by 6 publications

References 37 publications

Illness trajectories in the age of big data

Illness trajectories in the age of big data

How to model life’s trajectory from major diagnosis to death

Centering Patients and Evidence in Debates About Medical Assistance in Dying

Contact Info

Product

Resources

About