scholarly journals End-of-Life Care in Canada

2013 ◽  
Vol 36 (3) ◽  
pp. 127 ◽  
Author(s):  
Robert Fowler ◽  
Michael Hammer
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Treatment Plan ◽  
System Change ◽  
Life Care ◽  
Aggressive Treatment ◽  
Canadian Context ◽  
Challenges And Opportunities

End-of-life care and planning is critically important to the next decades of health care in Canada. In our country, between 2005 and 2036, the number of seniors 65 years and older is projected to increase by up to 25%, and the number of deaths by 65%. The majority of patients are currently admitted to hospital and intensive care units at the end of life; however, up to 70% of elderly patients say they would prefer a less aggressive treatment plan focusing on providing comfort rather than a technologically supported, institutionalized death. Herein we provide a brief overview of the end-of-life care in the Canadian context, and highlight challenges and opportunities for health care system change in the coming decades.

Communication, Negotiation, and Mediation: Dealing with Conflict in End-of-Life Decisions

2000 ◽  
Vol 16 (1_suppl) ◽  
pp. S17-S23 ◽  
Author(s):  
Kerry W. Bowman
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
Cultural Differences ◽  
End Of Life Care ◽  
Family Dynamics ◽  
Life Care ◽  
Health Care Teams ◽  
End Of Life Decisions

In recent years, it has become possible for the end of life to be a negotiated event, particularly in the intensive care unit. A multitude of often unidentified and poorly understood factors affect such negotiations. These include, family dynamics, ever-changing health care teams, inconsistent opinions about prognosis, and cultural differences between physicians, and patients and their families. When these factors converge, conflict may erupt. This article explores the nature, antecedents, and cost of such conflict. Arguments for the importance of balanced communication, negotiation, and mediation in end-of-life care are put forward.

Seventh-Day Adventists and Care for the Newborn

2019 ◽  
pp. 213-232
Author(s):  
Gerald R. Winslow
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Neonatal Intensive Care ◽  
Family Members ◽  
Newborn Infants ◽  
Life Care ◽  
Freedom Of Conscience ◽  
History Of

As a practical expression of their faith, Seventh-day Adventists have established healthcare institutions, including facilities for the intensive care of newborn infants. This chapter provides a brief history of Adventist engagement in health care and seeks to explain how core Adventist convictions provide the motivation for providing such care and shape the way it is given. The chapter also describes how Adventist beliefs may affect the ways in which Adventists or their family members receive health care. This includes beliefs in divine creation, human wholeness, freedom of conscience, spiritual commitment to health, and worldwide mission. Adventists believe that, by the Creator’s design, each person is a spiritual and physical unity. Using the example of a specific case of neonatal intensive care, the chapter explores how Adventist convictions are likely to support and inform caregiving and care receiving. Also described are Adventist principles for end-of-life care.

scholarly journals Physician Preferences for Aggressive Treatment at the End of Life and Area-Level Health Care Spending: The Johns Hopkins Precursors Study

2017 ◽  
Vol 3 ◽  
pp. 233372141772232 ◽  
Author(s):  
Joseph J. Gallo ◽  
Martin S. Andersen ◽  
Seungyoung Hwang ◽  
Lucy Meoni ◽  
Ravishankar Jayadevappa
Keyword(s):  
Health Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Latent Class ◽  
Health Care Spending ◽  
Life Care ◽  
Aggressive Treatment ◽  
Life Sustaining Treatment ◽  
Policy Measures ◽  
The Mean

Objective: To determine whether physician preferences for end-of-life care were associated with variation in health care spending. Method: We studied 737 physicians who completed the life-sustaining treatment questionnaire in 1999 and were linked to end-of-life care data for the years 1999 to 2009 from Medicare-eligible beneficiaries from the Dartmouth Atlas of Health Care (in hospital-related regions [HRRs]). Using latent class analysis to group physician preferences for end-of-life treatment into most, intermediate, and least aggressive categories, we examined how physician preferences were associated with health care spending over a 7-year period. Results: When all HRRs in the nation were arrayed in quartiles by spending, the prevalence of study physicians who preferred aggressive end-of-life care was greater in the highest spending HRRs. The mean area-level intensive care unit charges per patient were estimated to be US$1,595 higher in the last 6 months of life and US$657 higher during the hospitalization in which death occurred for physicians who preferred the most aggressive treatment at the end of life, when compared with average spending. Conclusions: Physician preference for aggressive end-of-life care was correlated with area-level spending in the last 6 months of life. Policy measures intended to minimize geographic variation in health care spending should incorporate physician preferences and style.

Practice of end-of-life care in intensive care unit. A national survey

2011 ◽  
Vol 59 (S 01) ◽  
Author(s):  
C Schimmer ◽  
C Yildirim ◽  
M Oezkur ◽  
SP Sommer ◽  
B Hörning ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
National Survey ◽  
End Of Life Care ◽  
Life Care

Transparency in end-of-life care in the intensive care unit

2011 ◽  
Vol 39 (9) ◽  
pp. 2207-2208
Author(s):  
Mohamed Y. Rady ◽  
Joseph L. Verheijde
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care
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