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The American Academy of Hospice and Palliative Medicine is among 17 medical groups that have joined the "Choose Wisely" campaign. The campaign added 90 tests and procedures to its list of therapies that should be questioned or avoided. AAHPM contributions to the list focused on percutaneous feeding tubes in patients with advanced dementia, palliative care delays, implantable cardioverter defibrillators, palliative radiation and nausea medications.
A study in JAMA Internal Medicine found that poorer hospice patients were less likely than the wealthy to die at home. U.S. researchers said care models are needed that ensure access to high-quality end-of-life care regardless of income, and a U.K. physician commented that the "next frontier in palliative care service" is the creation of specialist teams that operate in all types of care settings.
GeriPal contributor Bree Johnston recently returned from observing palliative care teams in Scotland and found that U.K. patients list their preferred place of death on advance directive documents. That's not a common question on patient forms and in discussions in the U.S.