Objectives Knowledge gaps in defining, diagnosing, educating health practitioners and treatment options hinder breakthrough cancer pain (BtCP) management. A systematic review revealed a lack of ...

Objectives Assisted dying has been legally available in Oregon in the USA for 25 years, since when official reports have been published each year detailing the number of people who have used this ...

Introduction Multiple studies have questioned the benefit of neutropenic diets in decreasing infections in patients with cancer, but recent surveys showed that such diets are still prescribed. In this ...

1 Nutrition Nurses, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Birmingham, UK We read with interest the recent Cochrane review1 about home parenteral nutrition ...

Introduction Routine assessment of patient-reported outcomes (PROs) in oncology has shown to improve the quality of the delivered care and to prolong survival. However, for successful implementation ...

Introduction Patients with life-limiting illnesses are at increased risk of mucosal bleeding. Usual management includes anticipatory planning and sedation, alongside anti-fibrinolytics, despite a lack ...

Background Calciphylaxis is a rare and poorly understood complication of end stage renal disease (ESRD) that causes a complex pain difficult to manage in the acute hospital and hospice environment.

Introduction The regular assessment of hydration status and provision of mouth care are vital parts of care in the last days of life. We present the results of a survey assessing the knowledge and ...

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Introduction In End-Stage Renal Disease (ESRD), frailty correlates with higher mortality rates, increased hospitalisations, and diminished quality of life. Timely discussions regarding patients’ ...

Background Our primary aim was to assess, among advanced heart failure patients, effectiveness of Advance care planning (ACP) in ensuring end of life (EOL) care consistent with patient wishes.

Background Studies consistently report patient benefit from fan use for relief of chronic breathlessness, but little is known about clinician implementation of the fan. Methods Online, short, ...