Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ontario Health Technology Advisory Committee. End-of-life health care in Ontario: OHTAC recommendation. Toronto: Health Quality Ontario (HQO). OHTAC Recommendation. 2014 Authors' conclusions 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. Indexing Status Subject indexing assigned by CRD MeSH Advance Care Planning; Attitude of Health Personnel; Attitude to Death; Bioethical Issues; Canada; Caregivers; Critical Care; Critical Pathways; Death; Decision Support Systems, Management Costs; Home Care Services; Hospice Care; Palliative Care; Patient-Centered Care; Personal Autonomys; Physician-Patient Relations; Terminal Care Language Published English Country of organisation Canada English summary An English language summary is available. Address for correspondence Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5 Email: EDSinfo@hqontario.ca AccessionNumber 32015000086 Date abstract record published 09/02/2015 |