Mar 29, 2020

Confidence and skills for cystic fibrosis end-of-life care

BMJ Supportive & Palliative Care
Eva Harris-SkillmanWilliam Flight

Abstract

Optimal cystic fibrosis (CF) end-of-life care (EOLC) is a challenge. There is little formal guidance about who should deliver this and how CF multi-disciplinary teams should interact with specialist palliative care. We assessed the knowledge, experience and preparedness of both CF and palliative care professionals for CF EOLC. An electronic questionnaire was distributed to all members of the Oxford adult CF and palliative care teams. 35 of a possible 63 members responded (19 CF team; 16 palliative care). Levels of preparedness were low in both groups. Only 11% of CF and 19% of palliative care team members felt fully prepared for EOLC in adult CF. 58% of CF members had no (21%) or minimal (37%) general palliative care training. Similarly, 69% of the palliative care team had no CF-specific training. All respondents desired additional education. CF team members preferred further education in general EOLC while palliative care team members emphasised a need for more CF-specific knowledge. Few members of either the CF or palliative care teams felt fully prepared to deliver CF EOLC and many desired additional educations. They expressed complementary knowledge gaps, which suggests both could benefit from increased collaboration and sh...Continue Reading

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Mentioned in this Paper

Experience
Readiness
Advice
Cystic Fibrosis
Palliative Care
Medical Care Team
Respondents
Professional Occupation Status
Multi-disciplinary Team
Specialist Palliative Care

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