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OBJECTIVES To determine the relative influence of different factors on place of death in patients with cancer. DATA SOURCES Four electronic databases-Medline (1966-2004), PsycINFO (1972-2004), CINAHL (1982-2004), and ASSIA (1987-2004); previous contacts with key experts; hand search of six relevant journals. REVIEW METHODS We generated a conceptual(More)
BACKGROUND This study aimed to evaluate outcomes for carers receiving the Admiral Nurse Service, a specialist mental health nursing service for carers of people with dementia. In contrast to many community mental health teams, it works primarily with the caregiver, focuses exclusively on dementia and offers continuing involvement, throughout the caregiving(More)
BACKGROUND Extensive evidence shows that well over 50% of people prefer to be cared for and to die at home provided circumstances allow choice. Despite best efforts and policies, one-third or less of all deaths take place at home in many countries of the world. OBJECTIVES 1. to quantify the effect of home palliative care services for adult patients with(More)
BACKGROUND Home-based models of hospice and palliative care are promoted with the argument that most people prefer to die at home. We examined the heterogeneity in preferences for home death and explored, for the first time, changes of preference with illness progression. METHODS We searched for studies on adult preferences for place of care at the end of(More)
BACKGROUND Cancer end-of-life care (EoLC) policies assume people want to die at home. We aimed to examine variations in preferences for place of death cross-nationally. METHODS A telephone survey of a random sample of individuals aged ≥16 in England, Flanders, Germany, Italy, the Netherlands, Portugal and Spain. We determined where people would prefer to(More)
BACKGROUND Most patients with cancer prefer to die at home or in a hospice, but hospitals remain the most common place of death (PoD).This study aims to explore the changing time trends of PoD and the associated factors, which are essential for end-of-life care improvement. METHODS AND FINDINGS The study analysed all cancer deaths in England collected by(More)
BACKGROUND Breathlessness is one of the core symptoms, particularly persistent and frequent, towards the end of life. There is no evidence of how the experience of breathlessness differs across conditions. This paper compares the experience of breathlessness in cancer, COPD, heart failure and MND, four conditions sharing heavy symptom burdens, poor(More)
OBJECTIVE To identify major concerns of national and local importance in the provision, commissioning, research, and use of generalist end of life care. DESIGN A national consultation and prioritising exercise using a modified form of the nominal group technique. PARTICIPANTS Healthcare practitioners, commissioners, academics, and representatives of(More)
BACKGROUND HoNOSCA (Health of the Nation Outcome Scales for Children and Adolescents) is a recently developed measure of outcome for use in child and adolescent mental health services (CAMHS). AIMS To examine HoNOSCA's sensitivity to change, convergent validity and clinical usefulness. METHOD Prospective study of new CAMHS attenders. Questionnaires(More)