Objectives To characterise the use of the parenteral non-steroidal anti-inflammatory drug parecoxib when given by continuous subcutaneous infusion (CSCI) in a hospice population. Clinical experience ...

Simulation training has been adopted by other industries, particularly aviation, for many years. With patient safety on every agenda, more recently there has been considerable interest and investment ...

Background Patients with motor neurone disease (MND) who are dependent on assisted ventilation may request that their ventilation is stopped if the benefits no longer outweigh the burdens. Many ...

This case report describes the withdrawal of life sustaining treatment for a patient with metastatic insulinoma. Whilst withdrawal of non-invasive ventilation, dialysis or other life sustaining ...

Primary Palliative Care Research Group, University of Edinburgh, Edinburgh, UK Correspondence to Iain Harris, Primary Palliative Care Research Group, University of ...

Introduction Telephone follow-up has been shown to be a valuable tool in the post-bereavement period. 1 Within our hospice we routinely follow-up next of kin (NOK) at 12 weeks, however we were keen to ...

Background Palliative care aims to recognise and optimise physical, psychological, social and spiritual needs of persons with advancing, life-threatening illnesses. However there is a paucity of ...

Introduction In 2014 St Joseph’s Hospice set up compassionate neighbours (CN) to address social isolation for those experiencing a chronic or terminal illness. Built on foundations of community ...

Background The marketing authorisation for many injectable drugs used in palliative care does not cover the frequently preferred subcutaneous route. Consequently, subcutaneous off-label drug ...

Dexmedetomidine is a selective α 2-adrenoreceptor agonist with a broad range of effects, including easily controllable sedation, analgesia and anxiolysis. Because of these favorable features, it has ...

Objective More than 90% of people spend time in hospital in the last year of life and, in many developed countries, hospitals are the setting in which most people will die. Previous research indicates ...

Objectives Hospice care in the Netherlands is provided in three different types of hospice facilities: volunteer-driven hospices (VDH), stand-alone hospices (SAHs) and hospice unit nursing homes (HU).