Physicians ask for a public campaign on care at the end of life and a national strategy on how such care can be delivered to Moorbounds.
It occurs in the midst of a warning that this phase of someone's life “is considered unexpected or as a last minute crisis” even though the person is sick and that they are already in the hospital or other environmental environment.
The Royal College of Physicans (CPR) said that it is currently focused on treatments to cure patients, despite the fact that many have progressive conditions that limit life, including those that are fragile or elderly, and asked for “important cultural changes” in medical care and the widest society of the United Kingdom around palliative care and at the end of life.
The RCP clinical vice president, Dr. Hilary Williams, described to anticipate the end of someone's life as “an act of clinical courage and kindness.”
Referring to previous research, the school said that approximately 70 percent of people die “of long -term health conditions that can follow a predictable course, with early death very before the event.”
They said that despite this, “patients and their families often feel without preparation for the end of life” and argued that patients who are in their last months of life “can benefit from open support conversations that help them recognize this and can result in a change in the approach of their treatment and support.”
The University said the government must develop a public campaign on the end of life and palliative care; support a professional campaign to improve education, recognition and delivery for attention at the end of life; and commission a national strategy for the end of life and palliative care, including staff training.
The University warned that there are “significant barriers, including challenges in social care and the imbalance of financing and workforce in medical care.”
Dr. Williams said that “we can and must do better” in the end of life, warning that too often it recognizes that someone is approaching at the end of their life “happens only in recent days or weeks, often already in acute care environments.”
She said: “The real change will only come when we value the continuity of care, the participation of experienced decision makers, and we can give doctors the time to have honest conversations with patients and families about what is coming.
“After all, anticipating the end of life is an act of clinical courage and kindness. As the treatment options expand, know when to start or stop an intervention, when to investigate or when to concentrate on the quality of life, it is becoming more complex.
“These are hard skills rooted in experience and experience: the system must learn to value them.”
Supporting the university calls, Dr. Nick Murch, president of the Acute Medicine Society, said that “too often, this phase (end of life) is considered an unexpected or last minute crisis.”
“With adequate support and planning, we can make sure that more people can die comfortably, in a place of their choice and dignity,” he added.
Dr. Suzanne Kite, president of the Association of Palliative Medicine, said: “We urgently need a national strategy to ensure that everyone has access to high quality palliative care that they need, wherever they are, as soon as necessary, throughout the day.
“The opportunities for patients, families and professionals to speak honestly about what matters in recent months and weeks must be integrated into care, and we need systems, training and public conversations that support this.”
Palliative care and the beneficial duel organization Sue Ryder supported the so -called CPR, saying that “although the care of the end of life makes a greatly positive difference for people who are actively dying the suppliers of palliative care, as Sue Ryder, could be helping people to live as well as possible, so possible.”
The beneficial organization added: “About 8 percent of people referred to our hospices before they can be admitted, which suggests that references are too late.
“Health professionals should be thinking about how palliative care can benefit their patients from the moment they receive a terminal diagnosis, not only the last days of life.”
A spokesman for the Department of Health and Social Care said: “We want a society where each person receives compassionate attention of high quality from diagnosis to the end of life.
“As part of our 10 -year health plan, this government arouses more medical attention outside hospitals and in the community, and the palliative care and care sector at the end of life, including a health specialist and general care of care and general care will play an important role in this change.
“This government is analyzing how to improve access, quality and sustainability of all palliative age care and has invested £ 100 million, the largest investment in a generation, in hospices to provide better attention.”
The CPR said that this statement of position on the attention at the end of life is separated from its position on the assisted death bill.
The University has previously highlighted “deficiencies on” on the aspects of the adult bill with terminal diseases (end of life), which is expected to be presented before the House of Lords for the debate when the Parliament returns from the recess.
After the approval of the bill through the commons after two main votes by the parliamentarians in November of last year, the university said that the concerns continued to “include safeguards for vulnerable patients, equitable access to care, clinical responsibilities and the need to make complex decisions by multidisciplinary teams and the potential impact on the medical-patient relationship.”
The school said that everyone “requires more consideration” and urged colleagues in the LORES “to address these problems to ensure that the bill includes solid protections for both patients and health professions.”
