Our new paper is out !
We explore which aspects influence health professionals´ decisions regarding EoL decisions and care for cancer patients in Colombia. #palliativecare @palliativewise @BMC_series #cancercare #patientcare
doi.org/10.1186/s12904…
Starting thread ... 🧵
We explore which aspects influence health professionals´ decisions regarding EoL decisions and care for cancer patients in Colombia. #palliativecare @palliativewise @BMC_series #cancercare #patientcare
doi.org/10.1186/s12904…
Starting thread ... 🧵
We did a qualitative descriptive-exploratory study based on phenomenology using semi-structured interviews incluiding several professionals´ and several urban hospitals. Main results 👇
Professionals consider :
Professionals consider :
👉Patient's clinical condition, cultural and social context, in particular treating indigenous patients requires special skills, so training in discussing EoL is extremely important.
👉Many patients deny their imminent death which hampers shared open conversations.
👉Many patients deny their imminent death which hampers shared open conversations.
👉Frequent ambiguity regarding who initiates conversations regarding EoL decisions with patients and who finally takes decisions.
👉Professionals normally do not ask patients directly for their preferences at the #EoL. Quite complicated situation.
👉Fear of confrontation.
👉Professionals normally do not ask patients directly for their preferences at the #EoL. Quite complicated situation.
👉Fear of confrontation.
Very frequent limitations with insurance system in Eol care. @MinSaludCol @Fruizgomez @_ALCP @IAHPC
1⃣ Low offer of oncology and palliative care services
2⃣ Several "barriers" to opioids use and application (largely in delivery by the health system)
3⃣Requirement of training
1⃣ Low offer of oncology and palliative care services
2⃣ Several "barriers" to opioids use and application (largely in delivery by the health system)
3⃣Requirement of training
Finally, decision making in the EoL is quite hard and it is more difficult without appropriate communication, health system barriers, and limitations and personnel requirement and training
@DMDColombia @BioeticaPUJ @unicauca @INCancerologia @paliakids @AAsocupac @MedicinaPUJ
@DMDColombia @BioeticaPUJ @unicauca @INCancerologia @paliakids @AAsocupac @MedicinaPUJ
Remarks.
✔ HC workers and patients need to openly discuss wishes, needs and care options and prepare caregivers at the EoL.
✔ Promotion of palliative care education and development. More access to EoL care.
✔ Patients and caregivers' perspectives are needed.
✔ HC workers and patients need to openly discuss wishes, needs and care options and prepare caregivers at the EoL.
✔ Promotion of palliative care education and development. More access to EoL care.
✔ Patients and caregivers' perspectives are needed.
Great results, wonderful team @EstherdeVries16 @Ediazamado @MedicinaPUJ @SanJosePopayan @VRIUNICAUCA
Stay tuned. Further research is comming !
Stay tuned. Further research is comming !
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