Objectives As more countries legalise assisted dying, it is of increasing significance for policy-makers and the medical profession. Doctors are needed for patients to access this choice; however, ...

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 ...

Destitute and dying: interventions and models of palliative and end of life care for homeless adults – a systematic review ...

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 ...

Objectives Population ageing and increased care needs lead to adults making consequential medical decisions for others, potentially impacting treatment and end of life. We aim to describe the ...

Background The number of patients dying in hospital continues to remain high. One of the challenges in combating this is deciding when to actively manage a patient and when to withhold/withdraw ...

Objectives There is increased global focus on advance care planning (ACP) with attention from policymakers, more education programmes, laws and public awareness campaigns. Methods We provide a summary ...

There is an increasing need to support nursing homes in palliative care to reduce suffering and avoid unnecessary hospital admissions at the end of life. Providing education to nursing homes faces ...

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

3 Zhejiang University School of Medicine, Centre for Global Health, Hangzhou, China Objective According to the 2015 Quality of Death Index, China ranks 71st in terms of quality of palliative care out ...