Rapidly increasing end-of-life care needs: a timely warning

Abstract Current trends in population ageing show that, in the near future, while more people will live longer, more will also die at any one time. Health systems, as well as individual practitioners, are only just becoming aware of the extent of this problem. Health systems will have to rapidly cha...

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Main Author: Geoffrey Mitchell
Format: Article
Language:English
Published: BMC 2017-07-01
Series:BMC Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12916-017-0897-2
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author Geoffrey Mitchell
author_facet Geoffrey Mitchell
author_sort Geoffrey Mitchell
collection DOAJ
description Abstract Current trends in population ageing show that, in the near future, while more people will live longer, more will also die at any one time. Health systems, as well as individual practitioners, are only just becoming aware of the extent of this problem. Health systems will have to rapidly change practice to manage the number of people dying in the coming years, many with complex multimorbid conditions. The changes involved should include a personal recognition by all health professionals of their role in caring for the dying, and healthcare education must include end-of-life care management as part of the core curriculum. Further, health systems must improve integration between primary care and specialist clinicians to ensure the burden is shared efficiently across the system. Finally, it should be recognised that end-of-life care is not terminal care, but should be anticipated months or sometimes years ahead through advance care planning for known future complications by the patient’s clinical team, as well as by patients and their main carers, to manage crises as they ariserather than react to them once they arise. Please see related article: https://bmcmedicine.biomedcentral.com/articles/ 10.1186/s12916-017-0860-2 .
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spelling doaj.art-4c80763cd23349d69b51493358d88a702022-12-21T20:18:28ZengBMCBMC Medicine1741-70152017-07-011511210.1186/s12916-017-0897-2Rapidly increasing end-of-life care needs: a timely warningGeoffrey Mitchell0Faculty of Medicine,University of QueenslandAbstract Current trends in population ageing show that, in the near future, while more people will live longer, more will also die at any one time. Health systems, as well as individual practitioners, are only just becoming aware of the extent of this problem. Health systems will have to rapidly change practice to manage the number of people dying in the coming years, many with complex multimorbid conditions. The changes involved should include a personal recognition by all health professionals of their role in caring for the dying, and healthcare education must include end-of-life care management as part of the core curriculum. Further, health systems must improve integration between primary care and specialist clinicians to ensure the burden is shared efficiently across the system. Finally, it should be recognised that end-of-life care is not terminal care, but should be anticipated months or sometimes years ahead through advance care planning for known future complications by the patient’s clinical team, as well as by patients and their main carers, to manage crises as they ariserather than react to them once they arise. Please see related article: https://bmcmedicine.biomedcentral.com/articles/ 10.1186/s12916-017-0860-2 .http://link.springer.com/article/10.1186/s12916-017-0897-2End-of-life carePrimary careHealthcare planningHealthcare integration
spellingShingle Geoffrey Mitchell
Rapidly increasing end-of-life care needs: a timely warning
BMC Medicine
End-of-life care
Primary care
Healthcare planning
Healthcare integration
title Rapidly increasing end-of-life care needs: a timely warning
title_full Rapidly increasing end-of-life care needs: a timely warning
title_fullStr Rapidly increasing end-of-life care needs: a timely warning
title_full_unstemmed Rapidly increasing end-of-life care needs: a timely warning
title_short Rapidly increasing end-of-life care needs: a timely warning
title_sort rapidly increasing end of life care needs a timely warning
topic End-of-life care
Primary care
Healthcare planning
Healthcare integration
url http://link.springer.com/article/10.1186/s12916-017-0897-2
work_keys_str_mv AT geoffreymitchell rapidlyincreasingendoflifecareneedsatimelywarning