User:Stickgirlvic/sandbox3

Timely community palliative and end-of-life care: a realist synthesis

Pages to link to:

- done - palliative care - Introduction paragraph 3 - US focused, could expand with a UK section, or build in UK notes throughout.

An NIHR funded study called for a move away from a timeline to death based referral system for palliative care in the UK to better support the individual and improve remaining quality of life.

- done - end of life care - UK paragraph 5 in with the NIHR funded research - UK section could be better organised and separated into sections.

A recent synthesised review states that by restricting referals to palliative care only when patients have a definitive time line for death, something that the study found to often be inaccurate, can have negative implications for the patient both when accessing end of life care, or being unable to access services due to not receiving a time line from medical professionals. The authors call for a less rigid approach to referrals to palliative care services in order to better support the individual, improve quality of life remaining and provide more holistic care.

- General practise - UK section - create a new section on palliative services - section could be expanded, look at community services, social prescribing, PPI advisory groups etc

A recent synthesised review looking at palliative care in the UK created a resource showing which services were available and grouped them according to their intended purpose and benefit to the patient. They also stated that currently in the UK palliative services are only available to patients with a timeline to death, usually 12 months or less. They found these timelines to often be inaccurate and created barriers to patients accessing appropriate services. They call for a more holistic approach to end of life care which is not restricted by arbitrary timelines.

- NHS page - new section on palliative health care - as above

- Health care in the United Kingdom - doesn’t really seem to fit into this article

- Health in the United Kingdom - new section on palliative care - as above

End of life care for people with severe mental illness: Mixed methods systematic review and thematic synthesis (the MENLOC study) pages to link to -

pages to link to -

Looking at previous research and case studies alongside current policies and guidelines regarding palliative or end of life care for people with severe mental illness.

- done - Palliative care

A study identified the current gaps in palliative care for people with severe mental illness (SMI’s). They found that due to the lack of resources within both mental health and end of life services people with SMI’s faced a number of barriers to accessing timely and appropriate palliative care.

- serious Mental illness - the sentence above with:

They called for a multidisciplinary team approach, including advocacy, with a point of contact co-ordinating the appropriate support for the individual. They also state that end of life and mental health care needs to be included in the training for professionals.