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Nurse who drove debate on euthanasia in India dies after 42 years in vegetative state

Aruna Shanbaug died at the King Edward Memorial Hospital, Mumbai, where she had worked as a nurse until 1973 when a violent sexual assault caused extensive neurological damage and left her in a vegetative state for the next 42 years.  
feeds.bmj.com
over 4 years ago
Www.bmj
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Nurse who drove debate on euthanasia in India dies after 42 years in vegetative state

Aruna Shanbaug died at the King Edward Memorial Hospital, Mumbai, where she had worked as a nurse until 1973 when a violent sexual assault caused extensive neurological damage and left her in a vegetative state for the next 42 years.  
feeds.bmj.com
over 4 years ago
A751c4c4bf953735eb24720481a9372a62cce6105498749298956503
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11244

Pain Killers

Awesome review made by Compound Interest (https://www.facebook.com/compoundchem?fref=ts)  
Mara
over 4 years ago
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Training and supportive programs for palliative care volunteers in community settings | Cochrane

The use of volunteers in community palliative care services can extend the range of activities offered to support people who are terminally ill. The types of training and support for volunteers are likely to affect their effectiveness and influence the quality of care provided to people requiring palliative care and their families. Training and support may also be costly for palliative care organisations.    
cochrane.org
over 4 years ago
Www.bmj
0
5

In brief

Bid fails to overturn UK assisted suicide law: The European Court of Human Rights has refused to hear a challenge to the United Kingdom’s ban on assisted suicide and voluntary euthanasia. The court has ruled as inadmissible applications by Jane Nicklinson, widow of Tony Nicklinson, who had locked-in syndrome and starved himself to death, and Paul Lamb, who is paralysed after a car crash. The seven judges decided that Nicklinson’s case was “manifestly ill founded” because the UK was entitled to provide that parliament should decide the issue and that Lamb had not exhausted his remedies in the domestic courts first.  
feeds.bmj.com
over 4 years ago
Www.bmj
0
5

In brief

Bid fails to overturn UK assisted suicide law: The European Court of Human Rights has refused to hear a challenge to the United Kingdom’s ban on assisted suicide and voluntary euthanasia. The court has ruled as inadmissible applications by Jane Nicklinson, widow of Tony Nicklinson, who had locked-in syndrome and starved himself to death, and Paul Lamb, who is paralysed after a car crash. The seven judges decided that Nicklinson’s case was “manifestly ill founded” because the UK was entitled to provide that parliament should decide the issue and that Lamb had not exhausted his remedies in the domestic courts first.  
feeds.bmj.com
over 4 years ago
Www.bmj
0
3

NICE issues draft guideline on end of life care

The National Institute for Health and Care Excellence (NICE) has issued a draft guideline on how dying patients should be cared for in their final days, to provide much needed guidance for clinicians after the Liverpool Care Pathway was abolished in 2013.1  
feeds.bmj.com
over 4 years ago
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PV Card: Palliative Care Screening in the Emergency Department

PV Card: Palliative Care Screening in the Emergency Department  
aliem.com
over 4 years ago
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BBC - Democracy Live - Palliative care debate

Viscount Bridgeman has led a debate on the future of hospices and palliative care services.  
news.bbc.co.uk
over 4 years ago
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Development of a tool for defining and identifying the dying patient in hospital: Criteria for Screening and Triaging to Appropriate aLternative care (CriSTAL) -- Cardona-Morrell and Hillman 5 (1): 78 -- BMJ Supportive & Palliative Care

Objective To develop a screening tool to identify elderly patients at the end of life and quantify the risk of death in hospital or soon after discharge for to minimise prognostic uncertainty and avoid potentially harmful and futile treatments.  
spcare.bmj.com
over 4 years ago
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Diagnosing dying: an integrative literature review - BMJ Supportive & Palliative Care

Background To ensure patients and families receive appropriate end-of-life care pathways and guidelines aim to inform clinical decision making. Ensuring appropriate outcomes through the use of these decision aids is dependent on timely use. Diagnosing dying is a complex clinical decision, and most of the available practice checklists relate to cancer. There is a need to review evidence to establish diagnostic indicators that death is imminent on the basis of need rather than a cancer diagnosis.  
spcare.bmj.com
over 4 years ago
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Pharmacovigilance in hospice/palliative care: net effect of gabapentin for neuropathic pain -- Sanderson et al. -- BMJ Supportive & Palliative Care

Objective Hospice/palliative care patients may differ from better studied populations, and data from other populations cannot necessarily be extrapolated into hospice/palliative care clinical practice. Pharmacovigilance studies provide opportunities to understand the harms and benefits of medications in routine practice. Gabapentin, a γ-amino butyric acid analogue antiepileptic drug, is commonly prescribed for neuropathic pain in hospice/palliative care. Most of the evidence however relates to non-malignant, chronic pain syndromes (diabetic neuropathy, postherpetic neuralgia, central pain syndromes, fibromyalgia). The aim of this study was to quantify the immediate and short-term clinical benefits and harms of gabapentin in routine hospice/palliative care practice.  
spcare.bmj.com
over 4 years ago
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Palliative Care | Medical Mnemonics

Posts about Palliative Care written by medmnemonics  
medmnemonics.wordpress.com
over 4 years ago
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Palliative care can provide a better death – and even a longer life | Margaret McCartney

Margaret McCartney: Despite death being our only shared destiny, there is an amazing amount of misinformation about what medicine can achieve at the end of life  
theguardian.com
over 4 years ago
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All healthcare professionals must be trained in palliative care | Jane Collins

The government must make training a priority so that everyone working in health or social care knows how to care for, and communicate with, people who are terminally ill  
theguardian.com
over 4 years ago
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End of life care still requires improvement at nearly half of hospitals, report finds

Almost half of hospitals provide unacceptable care services at the end of life, a summary of data collected from inspections and published in a report by the Department of Health has found.1  
feeds.bmj.com
over 4 years ago
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Addressing Palliative Sedation during Expert Consultation: A Descriptive Analysis of the Practice of Dutch Palliative Care Consultation Teams

PLoS One. 2015 Aug 24;10(8):e0136309. doi: 10.1371/journal.pone.0136309. eCollection 2015.  
ncbi.nlm.nih.gov
over 4 years ago