Objectives Polypharmacy can increase symptom burden and reduce quality of life in palliative care patients. The Drug Burden Index (DBI) measures patients’ exposure to anticholinergic and sedative ...

Correspondence to Dr Salmani Naiire, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd 14115, Iran; n.salmani{at}sbmu.ac.ir Background One of the barriers to the integration of ...

Objective To describe the experience of a Mexican cancer centre in vulvar cancer and the opportunity to incorporate palliative care (PC) during treatment. Patients and methods A retrospective study of ...

Background The aim of this systematic review and meta-analysis is to compare the complication rates of enteral nutrition (EN) (oral or tube feeding (TF)) and parenteral nutrition (PN) in patients with ...

Background Guidelines recommend an early access to specialised palliative medicine services for patients with cancer, but studies have reported a continued underuse. Palliative care facilities deliver ...

Background The advantages of timely prescribing for palliative patients is well documented (NICE. Care of dying adults in the last days of life. [NG31], 2015; NIHR. Health Social Care Serv Res.

How do senior hospital doctors perceive their role in supporting junior colleagues with navigating ethical issues in end-of-life care?

Background Although the use of Integrated Palliative care Outcome Scale (IPOS) has been shown to improve the quality of care delivered to hospice inpatients, maintaining high utilisation rates in ...

Background Bleeding at the end of life is distressing. The use of enteral and intravenous tranexamic acid (TA) to manage bleeding is established. The delivery of TA via continuous subcutaneous ...

The Association for Palliative Medicine of Great Britain and Ireland (APM) has recently published Guidance for Professionals to support their practice in a very challenging area of care.1 The Guidance ...

Introduction Bereavement support comes in different forms and degrees of formality, reflecting the varying needs of bereaved people. Following the Covid-19 pandemic there is renewed interest in ...

Correspondence to Professor Nigel Trudgill, Department of Gastroenterology, Sandwell and West Birmingham NHS Trust, West Bromwich, UK; nigel.trudgill{at}nhs.net Objective The study aimed to assess ...