Aim: To examine how physicians’ life stances affect their attitudes to end-of-life decisions and actual decision-making. Methods: Practising physicians from various specialties involved in the care of dying patients Belgium, Denmark, The Netherlands, Sweden, Switzerland Australia received structured questionnaires on care, which included questions about stance. Response rates ranged 53% 68% Denmark. General attitudes, intended behaviour with respect two hypothetical patients, were compared...

In this study we investigated (a) to what extent physicians have experience with performing a range of end-of-life decisions (ELDs), (b) if they no an ELD, would be willing do so under certain conditions and (c) which background characteristics are associated having with/or being make such ELDs.An anonymous questionnaire was sent 16,486 from specialities in death is common: Australia, Belgium, Denmark, Italy, the Netherlands, Sweden Switzerland.The response rate differed between countries...

There is little understanding in Australia of the special issues faced by gay, lesbian, bisexual and transgender people end-of-life care advance planning. This exploratory study aimed to achieve an initial these inform development a larger involving service users. Consultations were carried out with 19 providers 6 community members Northern Rivers metropolitan Sydney areas New South Wales, Australia. Participants reported barriers health access due discrimination, inappropriate lack...

Objectives:To examine doctors' level of knowledge the law on withholding and withdrawing life-sustaining treatment from adults who lack decision-making capacity, factors associated with a higher knowledge. Design, setting participants:Postal survey all specialists in emergency medicine, geriatric intensive care, medical oncology, palliative renal medicine respiratory AMPCo Direct database New South Wales, Victoria Queensland.Survey initially posted to participants 18 July 2012 closed 31...

This paper investigates the acceptance of in-home telehealth by frail older adults and carers Transition Care Program (TCP), evaluates as a predictor for usage compliance.A STRATIFIED RANDOM SAMPLE OF PARTICIPANTS WAS ALLOCATED TO ONE FIVE GROUPS: either control group or to receive monitoring their vital signs period 12 24 weeks; with without medical alarm pendant.Before being trained in using telehealth, majority participants demonstrated technology reporting that they perceived it would be...

Abstract Background People with intellectual disabilities (IDs) are growing older as a population cohort. Many live at home family members who their carers but also becoming and less able to provide care. The housing support preferences of people IDs into age poorly characterised in the literature. Methods Focus groups individual interviews were conducted 15 work supported employment 10 care for adults IDs. Data thematically analysed independently by two researchers. Results major themes...

To effectively care for people who are terminally ill, including those without decision-making capacity, palliative physicians must know and understand the legal standing of Advance Care Planning in their jurisdiction practice. This includes use advance directives/living wills substitute decision-makers can legally consent to or refuse treatment if there is no valid directive.This study aimed investigate knowledge, attitudes practices medical specialists most often involved end-of-life...

Advance care planning (ACP) provides patients with the ability to make their decisions known about how they would like be treated if lose capacity. Medical practitioners have a key role play in providing information on ACP patients. This research explores knowledge and attitudes advance this affects practice.The objective of study is assess NSW medical practitioners' self-reported practice ACP.A postal survey random sample 650 general plus 350 specialists from specialties most often involved...

Objective Thiopurine metabolism was investigated in children with acute lymphoblastic leukemia treated the United Kingdom Medical Research Council trial ALL97. This compared efficacy and toxicity of thioguanine (INN, tioguanine) versus mercaptopurine. Methods Consecutive were randomized to receive or mercaptopurine during maintenance chemotherapy. Toxicity data collected by an adverse event-reporting system follow-up questionnaires. Red blood cell thiopurine methyltransferase (TPMT) activity...

A major issue in the care of terminally ill patients is communication and information provision. This paper reports extent to which physicians Australia, Belgium, Denmark, Italy, Netherlands, Sweden Switzerland discuss topics relevant end life with their relatives (without first informing patient), possible associations between physician-specific characteristics such discussions. Response rates postal survey ranged from 39% 68% (n =10139). Physicians most countries except Italy `in...

Despite the devastating impact of HIV/AIDS, end-of-life care planning among lesbian, gay, bisexual and transgender (LGBT) communities is relatively under-researched, especially in Australia. This paper reports findings a survey 305 LGBT people living New South Wales, which examined their knowledge attitudes towards care. The focus this preparedness to discuss with healthcare providers any plans. results highlight that while majority respondents were aware three four key options available...

<h3>Objectives</h3> To determine the role played by law in medical specialists9 decision-making about withholding and withdrawing life-sustaining treatment from adults who lack capacity, extent to which legal knowledge affects whether is followed. <h3>Design</h3> Cross-sectional postal survey of specialists. <h3>Setting</h3> The two largest Australian states population. <h3>Participants</h3> 649 specialists seven specialties most likely be involved end-of-life acute setting. <h3>Main outcome...

Objective: To gain an understanding of how advance care planning (ACP) is understood and approached by managers residential aged facilities. Methods: Qualitative interviews with from 41 facilities South Western Sydney, Australia. Content thematic analysis interview transcripts. Results: The majority do not have a systematic approach to ACP, but tend initiate discussions about end‐of‐life treatments late in resident's illness. There are varying degrees which these used ongoing or made...

Aim To examine lesbian, gay, bisexual and transgender ( LGBT ) people's attitudes to advance care planning ACP options alternative decision‐making at the end of life. Method Three hundred five people completed an online or paper‐based questionnaire, comprising fixed‐choice questions open‐ended questions. Results Most respondents, particularly those identifying as female transgender, preferred a partner be their decision‐maker life should need arise. Fifty‐two per cent respondents had spoken...

To examine current attitudes and knowledge of the community medical practitioners in Queensland to end-of-life decisions.Cross-sectional survey by postal questionnaire.387 general specialists 910 members from electoral roll.Responses five questions about decision-making, legislative changes relating such decisions.The overall response rate for was 67% 53%. 78% (age adjusted) 54% doctors thought that a doctor should comply with patient's request turn off life-support system; 68% through...

Objective: To compare attitudes and practices of Australian medical practitioners, by specialty, to a range decisions at the end life. Design, setting participants: As part an international study, in 2003, structured questionnaire was mailed 2964 practitioners drawn from membership registers Australasian professional colleges. Data 1478 questionnaires were statistically analysed using validated instruments. Main outcome measures: Practitioners' willingness comply with requests patients...

Objectives: The aim of this study was to assess the awareness of, and attitudes to, mental health issues in rural dwelling Queensland residents. A secondary objective provide baseline data literacy prior implementation Australian Integrated Mental Health Initiative - a promotion strategy aimed at improving outcomes people with chronic or recurring disorders. Method: In 2004 random sample 2% (2132) estimated adult population each eight towns sent postal survey invited participate project....