OBJECTIVES:  To improve transmural palliative care for acutely admitted older patients, the PalliSupport transmural care pathway was developed. Implementation of this care pathway was challenging. The aim of this study was to improve understanding why the implementation partly failed. DESIGN:  A qualitative …

Shared decision-making (SDM) is theprocess in which healthcare professionals and patients jointly discuss and decide which care and treatment policy is to be followed. The importance of SDM is increasingly being recognised across health settings, including palliative care. Little is known about SDM with …

Dit artikel is eerder gepubliccerd in het Nederlands Vlaams Tijdschrift voor Palliatieve Zorg, 2020-16 https://nvtpz.org/  Samenvatting (Nederlands) Het kwaliteitskader Palliatieve zorg beschrijft als standaard: Proactieve zorgplanning wordt tijdig en op passende wijze aan de orde gesteld, bij voorkeur …

Background: Palliative needs in older patients are often not timely identified. The Surprise Question (SQ) ‘would I be surprised if this patient died in the next year?’ is a well-researched tool that could aid in this effort. Most studies thus far involved physicians or specialist nurses, however the …

With an increasingly ageing population there will be a rising demand for palliative care, including from older migrants and ethnic minorities. While many (future) physicians are unfamiliar with specific needs of older migrants and ethnic minorities regarding care and communication in palliative care, …

Background:  A transitional care pathway (TCP) could improve care for older patients in the last months of life. However, barriers exist such as unidentified palliative care needs and suboptimal collaboration between care settings. The aim of this study was to determine the feasibility of a TCP, named …

Context: Inadequate handovers between hospital and home can lead to adverse health outcomes. A group particularly at risk is patients at the end of life because of complex health problems, frequent care transitions, and involvement of many professionals.  Objectives: To investigate health care providers' …

OBJECTIVE: Depression among older adults predicts mortality after acute hospitalization. Depression is highly heterogeneous in its presentation of symptoms, whereas individual symptoms may differ in predictive value. This study aimed to investigate the prevalence of individual cognitive-affective depressive …

Most people in The Netherlands have access to high quality palliative care—multidisciplinary total care aimed at patients’ quality of life when patients have limited life expectancies. All nurses and generalist physicians receive at least basic palliative care training. Nursing home staff is also well …