The Canadian Researchers at the End of Life Network (CARENET) is a group of health care professionals from across the country that collaborate with each other to understand and improve palliative and end-of-life care.

Advance care planning (ACP), involving discussions between patients, families and healthcare professionals on future healthcare decisions, in advance of anticipated impairment in decision-making capacity, improves satisfaction and end-of-life care while respecting patient autonomy. It usually results in the creation of a written advanced care directive (ACD). This systematic review examines the impact of ACP on several outcomes (including symptom management, quality of care and healthcare utilisation) in older adults (>65years) across all healthcare settings. Read more about the study.

This month the Canadian Hospice Palliative Care Association (CHPCA) is calling on the government to make hospice palliative care a priority with its month-long campaign running from October 8 – November 10.

  1. Objective: To assess the feasibility, acceptability and clinical sensibility of a novel survey, the advance care planning (ACP) Engagement Survey, in various healthcare settings. See the article on BMJ Open. 

A new CIHR-funded study conducted by CARENET members and researchers at the University of Calgary will develop and evaluate a family-partnered care pathway for critically ill older patients (>70 yrs.) admitted to the intensive care unit. Read a synopsis of the project.

Read about an ICU nurse's first hand experience with family-centred care in the ICU. 

 

Practicing healthcare professionals and graduates exiting training programs are often ill-equipped to facilitate important discussions about end-of-life care with patients and their families. We conducted a systematic review to evaluate the effectiveness of educational interventions aimed at providing healthcare professionals with training in end-of-life communication skills, compared to usual curriculum.

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As part of the 2016 Budget, Ontario is promising to invest and additional $75 million over three years to provide patients with more options and access to palliative and end-of-life care.
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A UBC researcher is pointing towards the need for oncologists to have advance care planning and end-of-life discussions with cancer patients sooner rather than later.

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