Articles on End-of-life care

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Former U.S. president Jimmy Carter, seen here at an annual Carter Town Hall at Emory University in Atlanta, Ga. in September 2019, chose to spend his final years at home with hospice care. (AP Photo/John Amis, File)

Hope does not end: Jimmy Carter’s death at 100, his hospice care choice, and what Canada’s health system can learn from it

The values that Jimmy Carter embodied in his international career are reflected in his end-of-life decisions. These offer lessons for all Canadians.
It’s not uncommon for patients with palliative care needs to call 9-1-1 when they are in distress due to issues such as breathing difficulties, nausea or falling. (Shutterstock)

Paramedics treating patients’ palliative needs at home benefits everyone

Training paramedics to provide home-based palliative care lets severely ill patients remain at home and takes pressure off emergency departments and the health system.
Nurturing hope among patients with cancer and their caregivers is possible and includes coping strategies and exploring realistic goals. (Shutterstock)

Incurable but not hopeless: How hope shapes patients’ awareness of their advanced cancer prognosis

Patients with incurable cancer want to be informed about their disease and its treatment, but must also maintain hope. This inner conflict can affect how they process information about their prognosis.
Students in a death and dying class have the opportunity to become a ‘death ambassador,’ in recognition of their new level of awareness that could help foster healthy conversations about death and dying. (Shutterstock)

As a death doula and professor who teaches about dying, I see a need for more conversations about death

All of us face loss and the reality of our own mortality. Whether through in-person discussion or over social media, let’s build communities that support people navigating death and dying.
Even for an experienced health-care professional, estimating the life expectancy of a patient with a serious illness is challenging. (Shutterstock)

How long will a loved one live? It’s difficult to hear, but harder not to know

An accurate prediction of survival can enable earlier conversations about preferences and wishes at the end of life, and earlier introduction of palliative care.
A core focus of palliative care is on easing symptoms and increasing quality of life for people who have a serious or chronic illness, and not solely for those who are dying. (Shutterstock)

Older people who are homeless need better access to hospice and palliative care

The challenging realities surrounding end-of-life care are especially difficult for older people experiencing homelessness, who have more barriers to accessing hospice care.
Andy Rain/EPA/AAP

Why do we mourn people we don’t know?

Grieving the queen’s passing can be different to grieving the loss of someone we were close to. It’s also complicated by politics, colonialism and the contest about who she really was.
Several factors ranging from personal spiritual beliefs to patient relationships to medical legal issues can influence whether a health-care practitioner participates in providing medical assistance in dying (MAID). (Shutterstock)

Health‑care providers and MAID: The reasons why some don’t offer medically assisted death

For people to access medical assistance in dying (MAID) requires health-care professionals willing to provide the service. The reasons health-care providers choose not to participate are important.

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