Sage Palliative Medicine & Chronic Care

This episode features Dr Sofia Morberg Jämterud (Linköping University, Linköping, Sweden) and Anna Sandgren (Linnaeus University, Växjö, Sweden). Serious illness conversations promote patients' possibility of receiving care that is in accordance with their wishes and priorities. Identifying patients for serious illness conversations remains difficult even when palliative care needs are identified....

This episode features George Muishout (Department of History, European Studies and Religious Studies, Amsterdam School for Historical Studies, University of Amsterdam, Amsterdam, The Netherlands). To Muslims it is important that medical decisions are in accordance with Islamic values. In life-threatening illness, Muslims ask imams for religious advice on medical decision-making. So far, it is unkn...

This episode features researchers from the the University of Cologne (Germany) from the Faculty of Human Sciences and Faculty of Medicine, Graduate School GROW – Gerontological Research on Well-being, and also the Faculty of Medicine and University Hospital, Department of Palliative Medicine. The researchers are Helena Kukla, Angélique Herrler, Dr Julia Strupp and Professor Raymomd Voltz. Awarenes...

This episode features Professor Scott Murray (Primary Palliative Care Research Group, University of Edinburgh, Scotland, UK). People living at home with advanced progressive illness require well-coordinated services at all times of the day and night. Early identification for generalist palliative care support and care planning in the community can improve outcomes but requires effective informatio...

This episode features Professor Raymond Voltz, Kathleen Boström and Dr Kerstin Kremeike (Department of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany. Patients in palliative care frequently express a desire to die that rarely leads to a request for medical aid in dying. Fearing to cause harm, health professionals report uncertainty regardi...

This episode features Si Qi Yoong (National University of Singapore, Singapore). Death doula is a relatively new role found in the United States, United Kingdom, Canada and Australia. Death doulas provide support to the dying and their families. There is uncertainty about its roles, scope of practice, regulation and position within the healthcare system. This review clarifies the uncertainty of th...

The EAPC published recommendations on standards and norms in palliative care for Europe in 2009. The Delphi technique is a well recognised way to elicit the views of stakeholders and obtain consensus. There are a diversity of international and national definitions and concepts in palliative care which makes comparison between countries and delivery of health care complex. The majority (122) of sta...

This episode features Dr Diana Ferreira (Research Fellow at University of Wollongong, Australia). Breathlessness is frequently experienced in people with advanced cancer especially in the last days or weeks of life. Although cross-sectional studies have been done, longitudinal data on changes in maximum inspiratory pressure reflecting muscle strength are lacking. This pilot study aims to evaluate...

This episode features Professor Scott Murray (Primary Palliative Care Research Group, University of Edinburgh, Scotland, UK). People living at home with advanced progressive illness require well-coordinated services at all times of the day and night. Early identification for generalist palliative care support and care planning in the community can improve outcomes but requires effective informatio...

This episode features Dr Catherine Auriemma (Pulmonary and Critical Care Medicine Hospital of the University of Pennsylvania). Prior surveys and limited qualitative work have identified several health states that patients value as equal to or worse than death. The broad range of health states consider equal to or worse than death and the shared attributes of those states are not known. Potential f...

This episode features Madeleine Juhrmann (Northern Clinical School, University of Sydney, Sydney, NSW, Australia. HammondCare Centre for Learning and Research in Palliative Care, Greenwich Hospital, Greenwich, NSW, Australia). Global demand for palliative care is increasing and the reliance on exclusively specialist hospital-based care is becoming unsustainable. Community preferences also favour h...

This episode features Prof. María Arantzamendi (Institute for Culture and Society, ATLANTES, Universidad de Navarra, Pamplona, Navarra, Spain). Coping is essential to manage the challenges that palliative care professionals face in their daily clinical work and most well-known explanations focus on emotion or problem-based coping. Many of the studies about coping tend to focus on its effect and co...

This episode features Dr Eloise Radcliffe (University of Southampton, Southampton, UK) and Aysha Khan (The Christie NHS Foundation Trust, Manchester, UK) People living with cancer that is treatable but not curable have complex needs, often managing their health and wellbeing at home, supported by those close to them. People living with cancer that is treatable but not curable often wish to maintai...

This episode features Jennifer Baxley Lee (Ulster University, Institute of Nursing and Health Sciences Research, Northern Ireland, UK University of Florida, Center for Arts in Medicine, College of the Arts, Florida, USA). An expanding body of evidence demonstrates the positive impacts of the arts on health and well-being. No synthesis currently exists presenting evidence on arts interventions faci...

This episode features Dr Nicola White (Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK), Dr Christina Gerlach (University Medical Center Hamburg-Eppendorf, Hamburg, Germany), Dr Bert Leysen (Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College London, London, UK) and Prof Yvonne Engels (Anesthesio...

This episode features Dr Diah Martina (Department of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands). Asian healthcare professionals hold that patients' family play a central role in advance care planning and rarely engage patients in it. Despite the wide range of studies on advance care planning in different populations in Asian coun...

This episode features Dr Ben Bowers (Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK). The prescribing of injectable anticipatory medications to provide symptom relief in the last days of life is recommended and widespread practice in a number of counties. There is limited research concerning the frequency, timing and context of prescriptions...

This episode features Dr Markus Krause (Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany) and Dr Antje Freytag (Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany). Palliative homecare is an important component of palliative care, and it has a positive impact on the quality of care at the end-of-life. The effect of d...

This episode features Jamilla Akhter Hussain (Wolfson Palliative Care Research Centre, Hull York Medical School, Hull, UK),  Jonathan Koffman (Cicely Saunders Institute of Palliative Care and Rehabilitation, King's College London, London, UK) and Sabrina Bajwah (Cicely Saunders Institute of Palliative Care and Rehabilitation, King's College London, London, UK). This podcast describes an editorial...

This episode features Dr Eleanor Wilson (Nottingham Centre for the Advancement of Research in End of Life Care, School of Health Sciences, University of Nottingham Medical School, Queen's Medical Centre, Nottingham, UK) Managing medications at home can be a complex task involving ordering, collecting, organising, storing and taking medications correctly. Medication work must take place alongside o...

This episode features Florence Reedy (Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK). Chronic breathlessness is a prevalent symptom amongst patients with advanced medical conditions. In combination with disease-modifying therapies and non-pharmacological interventions, regular low dose opioids may safely reduce moderate to severe chronic breathless...

This episode features Baby Foo (School of Psychology, The University of Sydney, Sydney, NSW, Australia) and Dr Michele Wiese (School of Psychology, Western Sydney University, Penrith, NSW, Australia). With advancing age and the experience of life-limiting illness, people with intellectual disability need equitable access to effective palliative care. Palliative care staff experience unique challen...

This episode features Daisy McInnerney (Marie Curie Palliative Care Research Department, Division of Psychiatry, UCL, London, UK). Emotional disclosure -based interventions can improve psychological and physical wellbeing in general populations. A range of emotional disclosure-based interventions exist, but evidence of their efficacy in palliative care is mixed; it is not clear in which forms they...

This episode features Dr Liz Jamieson (Research Department of Practice and Policy, University College London School of Pharmacy, London, UK). Oral morphine is the recommended first line treatment for breakthrough pain. Intranasal diamorphine is an effective, rapid onset, well tolerated treatment for use in Accident and Emergency (ED) for trauma patients but lacks study in paediatric palliative car...