This episode features Dr Fiona Kenney and Koby Anderson, (Ottawa Hospital Research Institute, Ottawa, ON, Canada Bruyère Research Institute, Ottawa, ON, Canada)   What is already known about the topic? <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l0 level1 lfo1; tab-stops: list .5in;">Previous research demonstrates a high prevalence of severe grief symptoms up to a year post-death of a loved one among those who experienced bereavement during the COVID-19 pandemic.</li> <li class="MsoNormal" style= "mso-list: l0 level1 lfo1; tab-stops: list .5in;">No previous study has assessed changes in the severity of grief more than a year after the death of a loved one during the COVID-19 pandemic.</li> </ul>   What this paper adds? <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;">This prospective cohort follow-up study found the prevalence of severe grief reaction remained high (28.8%) at 12–18 months post- family member death.</li> <li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;">One-third (33.3%) of family members experienced persistently high or worsening grief symptoms at the time of their 12–18-month assessment compared to baseline 6–12-month assessment.</li> <li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;">Grief severity was associated with endotracheal intubation in the deceased, but not with the cause of death (e.g., COVID vs non-COVID illness) or physical presence/absence of the family member at the bedside in the final 48 h of life.</li> </ul>   Implications for practice, theory, or policy <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l2 level1 lfo3; tab-stops: list .5in;">There is a persistent, elevated risk of severe grief among family members who experience bereavement during the pandemic period, even up to 18 months post-death of the decedent.</li> <li class="MsoNormal" style= "mso-list: l2 level1 lfo3; tab-stops: list .5in;">There is an urgent need for effective and scalable means of addressing severe grief in the wake of the COVID-19 pandemic.</li> </ul>     Full paper available from:     <a href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F02692163231223394&data=05%7C02%7CNitu.Bala%40sagepub.in%7C083d59a0d3724915fc2208dc42b1075f%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638458575325141362%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=fwFP3Cs3EVzw2%2F0rEOCKOAtXCKlwgYF9GTH7z3WfJJE%3D&reserved=0"> https://journals.sagepub.com/doi/full/10.1177/02692163231223394</a>   If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu:  <a href= "mailto:a.nwosu@lancaster.ac.uk">a.nwosu@lancaster.ac.uk</a>

<description>&lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;This episode features Dr Fiona Kenney and Koby Anderson, (Ottawa Hospital Research Institute, Ottawa, ON, Canada Bruyère Research Institute, Ottawa, ON, Canada)&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;What is already known about the topic?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul style="margin-top: 0in;" type="disc"&gt; &lt;li class="MsoNormal" style= "mso-list: l0 level1 lfo1; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Previous research demonstrates a high prevalence of severe grief symptoms up to a year post-death of a loved one among those who experienced bereavement during the COVID-19 pandemic.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-list: l0 level1 lfo1; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;No previous study has assessed changes in the severity of grief more than a year after the death of a loved one during the COVID-19 pandemic.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;What this paper adds?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul style="margin-top: 0in;" type="disc"&gt; &lt;li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;This prospective cohort follow-up study found the prevalence of severe grief reaction remained high (28.8%) at 12–18 months post- family member death.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;One-third (33.3%) of family members experienced persistently high or worsening grief symptoms at the time of their 12–18-month assessment compared to baseline 6–12-month assessment.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Grief severity was associated with endotracheal intubation in the deceased, but not with the cause of death (e.g., COVID vs non-COVID illness) or physical presence/absence of the family member at the bedside in the final 48 h of life.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Implications for practice, theory, or policy&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul style="margin-top: 0in;" type="disc"&gt; &lt;li class="MsoNormal" style= "mso-list: l2 level1 lfo3; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;There is a persistent, elevated risk of severe grief among family members who experience bereavement during the pandemic period, even up to 18 months post-death of the decedent.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-list: l2 level1 lfo3; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;There is an urgent need for effective and scalable means of addressing severe grief in the wake of the COVID-19 pandemic.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Full paper available from:    &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;&lt;a href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F02692163231223394&amp;data=05%7C02%7CNitu.Bala%40sagepub.in%7C083d59a0d3724915fc2208dc42b1075f%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638458575325141362%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=fwFP3Cs3EVzw2%2F0rEOCKOAtXCKlwgYF9GTH7z3WfJJE%3D&amp;reserved=0"&gt; https://journals.sagepub.com/doi/full/10.1177/02692163231223394&lt;/a&gt;&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;&lt;a href= "mailto:a.nwosu@lancaster.ac.uk"&gt;a.nwosu@lancaster.ac.uk&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;</description>

This episode features Dr Fiona Kenney and Koby Anderson, (Ottawa Hospital Research Institute, Ottawa, ON, Canada Bruyère Research Institute, Ottawa, ON, Canada)   What is already known about the topic?  Previous research demonstrates a high...

Long-term bereavement outcomes in family members of those who died in acute care hospitals before and during the first wave of COVID-19: A cohort study

This episode features Sue-Ling Chang, (CHU de Québec-Université Laval Research Center, Oncology Division, Québec City, QC, Canada)   What is already known about the topic? <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l2 level1 lfo1; tab-stops: list .5in;">There is a growing interest in psilocybin-assisted therapy worldwide, particularly to treat existential distress at the end of life.</li> </ul>   What this paper adds? <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l0 level1 lfo2; tab-stops: list .5in;">In this study, we show that the social acceptability of psilocybin-assisted therapy to treat existential distress at the end of life is high in Canada and identify factors associated with favourable attitudes of the population towards it.</li> </ul>   Implications for practice, theory, or policy <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l1 level1 lfo3; tab-stops: list .5in;">Our findings may help mobilise resources to address barriers and challenges for implementing psilocybin-assisted therapy within palliative medicine and society. This could also have implications for policies regarding medical assistance in dying.</li> </ul>  Full paper available from:     <a title= "https://journals.sagepub.com/doi/full/10.1177/02692163231222430" href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F02692163231222430&data=05%7C02%7CNitu.Bala%40sagepub.in%7C02f13681a3d84053a05508dc42b02d95%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638458571868409652%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=ujed9yUHDMTaSnGgLwUaMJYKG2gjCxpWGie94TBbWy8%3D&reserved=0"> https://journals.sagepub.com/doi/full/10.1177/02692163231222430</a>  If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu:  <a href= "mailto:a.nwosu@lancaster.ac.uk">a.nwosu@lancaster.ac.uk</a>

<description>&lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;This episode features Sue-Ling Chang, (CHU de Québec-Université Laval Research Center, Oncology Division, Québec City, QC, Canada)&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;What is already known about the topic?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul style="margin-top: 0in;" type="disc"&gt; &lt;li class="MsoNormal" style= "mso-list: l2 level1 lfo1; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;There is a growing interest in psilocybin-assisted therapy worldwide, particularly to treat existential distress at the end of life.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;What this paper adds?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul style="margin-top: 0in;" type="disc"&gt; &lt;li class="MsoNormal" style= "mso-list: l0 level1 lfo2; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;In this study, we show that the social acceptability of psilocybin-assisted therapy to treat existential distress at the end of life is high in Canada and identify factors associated with favourable attitudes of the population towards it.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Implications for practice, theory, or policy&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul style="margin-top: 0in;" type="disc"&gt; &lt;li class="MsoNormal" style= "mso-list: l1 level1 lfo3; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Our findings may help mobilise resources to address barriers and challenges for implementing psilocybin-assisted therapy within palliative medicine and society. This could also have implications for policies regarding medical assistance in dying.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Full paper available from:    &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;&lt;a title= "https://journals.sagepub.com/doi/full/10.1177/02692163231222430" href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F02692163231222430&amp;data=05%7C02%7CNitu.Bala%40sagepub.in%7C02f13681a3d84053a05508dc42b02d95%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638458571868409652%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=ujed9yUHDMTaSnGgLwUaMJYKG2gjCxpWGie94TBbWy8%3D&amp;reserved=0"&gt; https://journals.sagepub.com/doi/full/10.1177/02692163231222430&lt;/a&gt;&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;&lt;a href= "mailto:a.nwosu@lancaster.ac.uk"&gt;a.nwosu@lancaster.ac.uk&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;</description>

This episode features Sue-Ling Chang, (CHU de Québec-Université Laval Research Center, Oncology Division, Québec City, QC, Canada)   What is already known about the topic?  There is a growing interest in psilocybin-assisted therapy...

Social acceptability of psilocybin-assisted therapy for existential distress at the end of life: A population-based survey

This episode features Dr Carlos Seiça Cardoso (Faculty of Medicine, University of Coimbra, Coimbra, Portugal CINTESIS@RISE, MEDCIDS, Faculty of Medicine of the University of Porto, Porto, Portugal)  What is already known about the topic? <ul type="disc"> <li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"> The burden of chronic, progressive, incurable and life-threatening illness is increasing, highlighting the need to integrate palliative care into patients’ care plans.</li> <li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"> Data indicate that involving General Practitioners in the provision of palliative care may improve outcomes for patients and families, but the evidence on the effectiveness of interventions for patients with palliative care needs in primary care is still scarce.</li> </ul>  What this paper adds? <ul type="disc"> <li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo2; tab-stops: list .5in;"> We developed a training programme, from logistics to content, to be feasible for General Practitioners and to address the main topics in which they identified training needs.</li> <li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo2; tab-stops: list .5in;"> A two-tiered intervention was implemented, involving training and a new consultation model; this was shown to be feasible and effective in reducing the physical and emotional symptoms of patients with palliative needs managed in primary care.</li> <li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo2; tab-stops: list .5in;"> To the best of our knowledge, this is the first intervention involving General Practitioners, that assesses the impact on patients’ self-reported symptoms and demonstrates positive effects.</li> </ul>  Implications for practice, theory, or policy <ul type="disc"> <li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo3; tab-stops: list .5in;"> General Practitioners may test whether the intervention is applicable in their own setting, as there is potential for transferability to similar primary care settings elsewhere in the world.</li> </ul>   <ul type="disc"> <li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo3; tab-stops: list .5in;"> We successfully implemented and evaluated an intervention with a statistically and clinically important impact on patients, showing that research in primary palliative care can and must expand, as it may be key in the initial care of patients with palliative needs.</li> </ul>   Full paper available from:     <a style="background-color: rgba(0, 0, 0, 0);" href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F02692163231219682&data=05%7C02%7CNitu.Bala%40sagepub.in%7Ce0190ffa59694a0d138508dc32beb871%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638441041948418493%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=xQGlnf1dHa7XN5hGH%2F8NlEjaz7TcQDlyr5TumaZ%2BmpU%3D&reserved=0"> https://journals.sagepub.com/doi/full/10.1177/02692163231219682</a>  If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu:  <a href= "mailto:a.nwosu@lancaster.ac.uk">a.nwosu@lancaster.ac.uk</a>

<description>&lt;p class="MsoNormal"&gt;&lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman'; color: black;"&gt; This episode features Dr Carlos Seiça Cardoso (Faculty of Medicine, University of Coimbra, Coimbra, Portugal&lt;br /&gt; CINTESIS@RISE, MEDCIDS, Faculty of Medicine of the University of Porto, Porto, Portugal)&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span style= "mso-fareast-font-family: 'Times New Roman';"&gt; &lt;/span&gt;&lt;strong&gt;&lt;span style="font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman'; color: black;"&gt;What is already known about the topic?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul type="disc"&gt; &lt;li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"&gt; &lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman';"&gt; The burden of chronic, progressive, incurable and life-threatening illness is increasing, highlighting the need to integrate palliative care into patients’ care plans.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"&gt; &lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman';"&gt; Data indicate that involving General Practitioners in the provision of palliative care may improve outcomes for patients and families, but the evidence on the effectiveness of interventions for patients with palliative care needs in primary care is still scarce.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span style= "mso-fareast-font-family: 'Times New Roman';"&gt; &lt;/span&gt;&lt;strong&gt;&lt;span style="font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman'; color: black;"&gt;What this paper adds?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul type="disc"&gt; &lt;li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo2; tab-stops: list .5in;"&gt; &lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman';"&gt; We developed a training programme, from logistics to content, to be feasible for General Practitioners and to address the main topics in which they identified training needs.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo2; tab-stops: list .5in;"&gt; &lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman';"&gt; A two-tiered intervention was implemented, involving training and a new consultation model; this was shown to be feasible and effective in reducing the physical and emotional symptoms of patients with palliative needs managed in primary care.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo2; tab-stops: list .5in;"&gt; &lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman';"&gt; To the best of our knowledge, this is the first intervention involving General Practitioners, that assesses the impact on patients’ self-reported symptoms and demonstrates positive effects.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span style= "mso-fareast-font-family: 'Times New Roman';"&gt; &lt;/span&gt;&lt;strong&gt;&lt;span style="font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman'; color: black;"&gt;Implications for practice, theory, or policy&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul type="disc"&gt; &lt;li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo3; tab-stops: list .5in;"&gt; &lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman';"&gt; General Practitioners may test whether the intervention is applicable in their own setting, as there is potential for transferability to similar primary care settings elsewhere in the world.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; margin-left: .5in;"&gt;  &lt;/p&gt; &lt;ul type="disc"&gt; &lt;li class="MsoNormal" style= "color: black; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo3; tab-stops: list .5in;"&gt; &lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman';"&gt; We successfully implemented and evaluated an intervention with a statistically and clinically important impact on patients, showing that research in primary palliative care can and must expand, as it may be key in the initial care of patients with palliative needs.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span style= "mso-fareast-font-family: 'Times New Roman';"&gt; &lt;/span&gt;&lt;span style="mso-fareast-font-family: 'Times New Roman';"&gt; &lt;/span&gt;&lt;span style="font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman'; color: black;"&gt;Full paper available from:    &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman'; color: #404040;"&gt; &lt;a style="background-color: rgba(0, 0, 0, 0);" href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2Ffull%2F10.1177%2F02692163231219682&amp;data=05%7C02%7CNitu.Bala%40sagepub.in%7Ce0190ffa59694a0d138508dc32beb871%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638441041948418493%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=xQGlnf1dHa7XN5hGH%2F8NlEjaz7TcQDlyr5TumaZ%2BmpU%3D&amp;reserved=0"&gt; &lt;span style="background-color: rgba(0, 0, 0, 0);"&gt;&lt;span style= "color: #404040;"&gt;https://journals.sagepub.com/doi/full/10.1177/02692163231219682&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span style= "mso-fareast-font-family: 'Times New Roman';"&gt; &lt;/span&gt;&lt;span style="font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman'; color: black;"&gt;If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span style= "font-size: 12.0pt; font-family: 'Aptos',sans-serif; mso-fareast-font-family: 'Times New Roman'; color: black;"&gt; &lt;a href= "mailto:a.nwosu@lancaster.ac.uk"&gt;a.nwosu@lancaster.ac.uk&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;</description>

This episode features Dr Carlos Seiça Cardoso (Faculty of Medicine, University of Coimbra, Coimbra, Portugal CINTESIS@RISE, MEDCIDS, Faculty of Medicine of the University of Porto, Porto, Portugal)  What is already known about the topic?    The...

Feasibility and effectiveness of a two-tiered intervention involving training and a new consultation model for patients with palliative care needs in primary care: A before-after study

This episode features Ellis Slotman (Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands)  What is already known about the topic? <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l2 level1 lfo1; tab-stops: list .5in;">Potentially inappropriate end-of-life care in patients with cancer is still common.</li> <li class="MsoNormal" style= "mso-list: l2 level1 lfo1; tab-stops: list .5in;">The COVID-19 pandemic has been shown to affect cancer diagnosis and treatment, but evidence on how the pandemic has affected end-of-life care is limited. </li> </ul>  What this paper adds? <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;">The COVID-19 pandemic was associated with less potentially inappropriate care at the end of life in patients with cancer. </li> <li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;">The decline in potentially inappropriate end-of-life care was driven by fewer hospitalizations and intensive care unit admissions in the last month of life and fewer hospital deaths. </li> </ul>  Implications for practice, theory, or policy <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l0 level1 lfo3; tab-stops: list .5in;">The findings of this study raise important questions as to which pandemic related changes in end-of-life care delivery and decision making might be able to contribute to appropriate end-of-life care for future patients. </li> <li class="MsoNormal" style= "mso-list: l0 level1 lfo3; tab-stops: list .5in;">Ensuring that awareness for triaging and advance care planning is maintained after the pandemic may be of great importance in this regard. </li> </ul> Full paper available from:     <a href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2F10.1177%2F02692163231217373&data=05%7C02%7CNitu.Bala%40sagepub.in%7C82e3995ee8cb4e66fee608dc12bb6da2%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638405844054105630%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=GpVGxN5nZzch24m9M4MozFoenf5brHD26yuZG%2BTrDUA%3D&reserved=0"> https://journals.sagepub.com/doi/10.1177/02692163231217373</a>  If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu:  <a href= "mailto:a.nwosu@lancaster.ac.uk">a.nwosu@lancaster.ac.uk</a>

<description>&lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;This episode features Ellis Slotman (Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands)&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang= "EN-GB"&gt; &lt;/span&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;What is already known about the topic?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul style="margin-top: 0in;" type="disc"&gt; &lt;li class="MsoNormal" style= "mso-list: l2 level1 lfo1; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Potentially inappropriate end-of-life care in patients with cancer is still common.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-list: l2 level1 lfo1; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;The COVID-19 pandemic has been shown to affect cancer diagnosis and treatment, but evidence on how the pandemic has affected end-of-life care is limited. &lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang= "EN-GB"&gt; &lt;/span&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;What this paper adds?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul style="margin-top: 0in;" type="disc"&gt; &lt;li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;The COVID-19 pandemic was associated with less potentially inappropriate care at the end of life in patients with cancer. &lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-list: l1 level1 lfo2; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;The decline in potentially inappropriate end-of-life care was driven by fewer hospitalizations and intensive care unit admissions in the last month of life and fewer hospital deaths. &lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang= "EN-GB"&gt; &lt;/span&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Implications for practice, theory, or policy&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul style="margin-top: 0in;" type="disc"&gt; &lt;li class="MsoNormal" style= "mso-list: l0 level1 lfo3; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;The findings of this study raise important questions as to which pandemic related changes in end-of-life care delivery and decision making might be able to contribute to appropriate end-of-life care for future patients. &lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-list: l0 level1 lfo3; tab-stops: list .5in;"&gt;&lt;span lang= "EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Ensuring that awareness for triaging and advance care planning is maintained after the pandemic may be of great importance in this regard. &lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Full paper available from:    &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;&lt;a href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2F10.1177%2F02692163231217373&amp;data=05%7C02%7CNitu.Bala%40sagepub.in%7C82e3995ee8cb4e66fee608dc12bb6da2%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638405844054105630%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=GpVGxN5nZzch24m9M4MozFoenf5brHD26yuZG%2BTrDUA%3D&amp;reserved=0"&gt; https://journals.sagepub.com/doi/10.1177/02692163231217373&lt;/a&gt;&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang= "EN-GB"&gt; &lt;/span&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: &lt;/span&gt;&lt;/p&gt; &lt;p&gt;&lt;span lang="EN-GB" style= "font-size: 11.0pt; font-family: 'Calibri',sans-serif; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-ansi-language: EN-GB; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;" xml:lang="EN-GB"&gt;&lt;a href= "mailto:a.nwosu@lancaster.ac.uk"&gt;a.nwosu@lancaster.ac.uk&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;</description>

This episode features Ellis Slotman (Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands)  What is already known about the topic?  Potentially inappropriate end-of-life care in patients with cancer is still common. The...

Reduction in potentially inappropriate end-of-life hospital care for cancer patients during the COVID-19 pandemic: A retrospective population-based study

This episode features Dr Vanessa Abrahamson, (Centre for Health Services Studies, University of Kent, Kent, UK).   What is already known about the topic? <ul type="disc"> <li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"> Increasingly, people at end-of-life want to die at home but this relies heavily on family carers to support the patient.</li> <li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"> Many carers struggle with the practical and emotional burden of caring for a loved one at home.</li> <li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"> Services providing hospice care at home are highly rated by carers but access is limited and the model of care varies greatly between services, with little data on how this affects patient/carer experiences.</li> </ul>   What this paper adds? <ul type="disc"> <li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list .5in;"> Hospice-at-home services need to set clear expectations from the start so that families know exactly what the service can, or cannot, provide; this helps establish confidence in the service and build a strong relationship with the carer.</li> <li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list .5in;"> Carers valued the expertise of hospice staff (in death and dying) and that they had time to care in a flexible and compassionate manner, which other services lacked.</li> <li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list .5in;"> Carers felt ‘doubly’ bereaved when the person they cared for died and the hospice team immediately withdrew; existing bereavement services did not suit many carers, particularly younger families.</li> </ul>   Implications for practice, theory, or policy <ul type="disc"> <li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo3; tab-stops: list .5in;"> Carers appreciated early contact with services but placing the onus on carers to trigger increased help when needed was not found supportive.</li> <li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo3; tab-stops: list .5in;"> There should be regular review of needs for the carer as well as for the patient and services available to address both their needs; services could consider options to increase volunteer contributions to hospice-at-home services.</li> <li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo3; tab-stops: list .5in;"> Hospice services could consider how to provide bereavement support that meets carer preferences.</li> </ul>   Full paper available from:     <a href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2F10.1177%2F02692163231206027&data=05%7C01%7CNitu.Bala%40sagepub.in%7C5fc981bc67894330eb0f08dbd62d62c2%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638339262825697518%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=q4nTG%2FzL7T4rb%2FSqTIncU0sAdKGc7Qgl2sPN2rOImfI%3D&reserved=0"> https://journals.sagepub.com/doi/10.1177/02692163231206027</a>   If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu:  <a href= "mailto:a.nwosu@lancaster.ac.uk">a.nwosu@lancaster.ac.uk</a>

<description>&lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;This episode features Dr Vanessa Abrahamson, (Centre for Health Services Studies, University of Kent, Kent, UK&lt;span style= "color: #333333;"&gt;).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;What is already known about the topic?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul type="disc"&gt; &lt;li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"&gt; &lt;span lang="EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Increasingly, people at end-of-life want to die at home but this relies heavily on family carers to support the patient.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"&gt; &lt;span lang="EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Many carers struggle with the practical and emotional burden of caring for a loved one at home.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l2 level1 lfo1; tab-stops: list .5in;"&gt; &lt;span lang="EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Services providing hospice care at home are highly rated by carers but access is limited and the model of care varies greatly between services, with little data on how this affects patient/carer experiences.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;What this paper adds?&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul type="disc"&gt; &lt;li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list .5in;"&gt; &lt;span lang="EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Hospice-at-home services need to set clear expectations from the start so that families know exactly what the service can, or cannot, provide; this helps establish confidence in the service and build a strong relationship with the carer.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list .5in;"&gt; &lt;span lang="EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Carers valued the expertise of hospice staff (in death and dying) and that they had time to care in a flexible and compassionate manner, which other services lacked.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l1 level1 lfo2; tab-stops: list .5in;"&gt; &lt;span lang="EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Carers felt ‘doubly’ bereaved when the person they cared for died and the hospice team immediately withdrew; existing bereavement services did not suit many carers, particularly younger families.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;strong&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Implications for practice, theory, or policy&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt; &lt;ul type="disc"&gt; &lt;li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo3; tab-stops: list .5in;"&gt; &lt;span lang="EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Carers appreciated early contact with services but placing the onus on carers to trigger increased help when needed was not found supportive.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo3; tab-stops: list .5in;"&gt; &lt;span lang="EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;There should be regular review of needs for the carer as well as for the patient and services available to address both their needs; services could consider options to increase volunteer contributions to hospice-at-home services.&lt;/span&gt;&lt;/li&gt; &lt;li class="MsoNormal" style= "mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-list: l0 level1 lfo3; tab-stops: list .5in;"&gt; &lt;span lang="EN-GB" style= "mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Hospice services could consider how to provide bereavement support that meets carer preferences.&lt;/span&gt;&lt;/li&gt; &lt;/ul&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;Full paper available from:    &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;&lt;a href= "https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjournals.sagepub.com%2Fdoi%2F10.1177%2F02692163231206027&amp;data=05%7C01%7CNitu.Bala%40sagepub.in%7C5fc981bc67894330eb0f08dbd62d62c2%7C866b3abd7515461abdb412b4a1857f04%7C0%7C0%7C638339262825697518%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=q4nTG%2FzL7T4rb%2FSqTIncU0sAdKGc7Qgl2sPN2rOImfI%3D&amp;reserved=0"&gt; https://journals.sagepub.com/doi/10.1177/02692163231206027&lt;/a&gt;&lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt; &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: &lt;/span&gt;&lt;/p&gt; &lt;p class="MsoNormal"&gt;&lt;span lang="EN-GB" style= "mso-ansi-language: EN-GB;" xml:lang="EN-GB"&gt;&lt;a href= "mailto:a.nwosu@lancaster.ac.uk"&gt;a.nwosu@lancaster.ac.uk&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;</description>

This episode features Dr Vanessa Abrahamson, (Centre for Health Services Studies, University of Kent, Kent, UK).   What is already known about the topic?   Increasingly, people at end-of-life want to die at home but this relies heavily on family...

Family carer experiences of hospice care at home: findings from a mixed methods realist evaluation

Welcome to the official free Podcast site from SAGE Publications for Palliative Medicine & Chronic Care.

SAGE is a leading international publisher of journals, books, and electronic media for academic, educational, and professional markets with principal offices in Los Angeles, London, New Delhi, and Singapore.

SAGE Palliative Medicine & Chronic Care

Details

Recent Episodes