1. Spanish and Portuguese Societies of Internal Medicine consensus guideline about best practice in end-of-life care.
- Author
-
Díez-Manglano J, Sánchez Muñoz LÁ, García Fenoll R, Freire E, Isasi de Isasmendi Pérez S, Carneiro AH, and Torres Bonafonte O
- Subjects
- Advisory Committees organization & administration, Delphi Technique, Humans, Portugal, Spain, Consensus, Internal Medicine, Societies, Medical, Terminal Care standards
- Abstract
Aim: To develop consensus recommendations about good clinical practice rules for caring end-of-life patients., Methods: A steering committee of 12 Spanish and Portuguese experts proposed 37 recommendations. A two rounds Delphi method was performed, with participation of 105 panelists including internists, other clinicians, nurses, patients, lawyers, bioethicians, health managers, politicians and journalists. We sent a questionnaire with 5 Likert-type answers for each recommendation. Strong consensus was defined when >95% answers were completely agree or >90% were agree or completely agree; and weak consensus when >90% answers were completely agree or >80% were agree or completely agree., Results: The panel addressed 7 specific areas for 37 recommendations spanning: identification of patients; knowledge of the disease, values and preferences of the patient; information; patient's needs; support and care; palliative sedation, and after death care., Conclusions: The panel formulated and provided the rationale for recommendations on good clinical practice rules for caring end-of-life patients., (Copyright © 2020 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF