End-of-life health care in Ontario: OHTAC recommendation
Ontario Health Technology Advisory Committee
Record ID 32015000086
English
Authors' recommendations:
All patients approaching the end of life have access to specialized interprofessional, team-based, integrated care across multiple venues.
Patient care planning, including advance care planning and goals of care, be discussed with patients and their informal caregivers early, periodically, and as circumstances change.
Evidence about the determinants of place of death be used to inform discussions among patients, informal caregivers, and health care providers regarding the feasibility of patients' dying in their preferred location.
Patients and informal caregivers be provided education about symptom management and coping strategies
education in end-of-life care for health care professionals be provided before and after licensure, and include training on providing supportive care to informal caregivers.
With respect to cardiopulmonary resuscitation (CPR), OHTAC recommends that:
proactive discussions about goals of care inform interventions that could be offered near the end of life
clinicians routinely discuss not instituting CPR with patients or their substitute decision makers when death can be reasonably anticipated.
OHTAC calls for public debate on the normalization and demedicalization of death and dying.
Details
Project Status:
Completed
Year Published:
2014
URL for published report:
http://www.hqontario.ca/Portals/0/Documents/eds/ohtas/recommendation-eol-1411-en.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Palliative Care
- Terminal Care
- Physician-Patient Relations
- Caregivers
- Bioethical Issues
- Attitude to Death
- Attitude of Health Personnel
- Advance Care Planning
- Critical Care
- Critical Pathways
- Home Care Services
- Hospice Care
- Patient-Centered Care
- Canada
- Death
Contact
Organisation Name:
Health Quality Ontario
Contact Address:
Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5
Contact Name:
EDSinfo@hqontario.ca
Contact Email:
OH-HQO_hta-reg@ontariohealth.ca
Copyright:
Health Quality Ontario
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.