Background Our aim was to determine feasibility and effect sizes of bright light therapy (BLT), melatonin (MLT), methylphenidate (MP) and eight combinations (BLT+MLT+MP, BLT+MLT, BLT+MP, BLT alone, ...

Objectives To summarise the current body of published evidence on the use of low-dose and/or adjuvant methadone in the palliative care setting. Methods The authors searched multiple databases (PubMED, ...

Introduction General Practitioners (GPs) face challenges when providing palliative care, including an ageing, multimorbid population, falling GP numbers and increasing demand. A ‘public health ...

Background Spiritual care allows palliative care patients to gain a sense of purpose, meaning and connectedness to the sacred or important while experiencing a serious illness. This study examined how ...

Introduction During the Covid-19 pandemic, our hospice services had to rapidly move to consulting using video-conferencing technology. A service evaluation captured our patients‘ experiences of video ...

Approaches using digital technologies to support advance care planning (ACP) and care coordination are being used in palliative and end of life care. While providing opportunities to facilitate ...

Background Narrative Medicine is a powerful tool that helps learners in training critically reflect on experiences that significantly impact their learning journey. The term ‘narrative medicine’ is ...

Background Chronic breathlessness is a prevalent and debilitating symptom in people with advanced life-limiting disease and significantly impacts on function and quality of life. Despite this ...

Background Hospital discharge letters for End of Life Care patients are often poor. The lack of communication from the hospital to community teams regarding essential issues which is needed for ...

Background Junior doctors undertake holistic patient assessments on hospice admission. Although physical and psychosocial needs are frequently comprehensively evaluated, medical staff often lack ...

Objectives To conduct a scoping review to explore the evidence of the process of do not attempt cardiopulmonary resuscitation (DNACPR) decision-making. Methods We conducted a systematic search and ...

Background Patients with primary brain tumours experience challenging symptoms and benefit from timely specialist palliative care referral. 1 Prognosis is poor, particularly for high grade gliomas. 1 ...