Do internists know what limitation of therapeutic effort means?
| Autor: | Benjamín Herreros, R. García-Caballero, D. Real de Asúa, L. García Olmos |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Terminal Care Palliative care business.industry Palliative Care Mean age General Medicine Bioethics Middle Aged 03 medical and health sciences 0302 clinical medicine Withholding Treatment Family medicine Physicians Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Active treatment business |
| Zdroj: | Revista clinica espanola. |
| ISSN: | 1578-1860 |
| Popis: | Objectives To ascertain whether internists know what limitation of therapeutic effort (LTE) means and whether training in palliative care affects this understanding. Methods A survey was administered to Spanish internists on their knowledge of LTE and training in palliative care. Results A total of 273 respondents completed the survey (mean age, 42 ± 12 years), 80.2% of whom were associates. Some 23.8% of the respondents identified the complete definition of LTE. The most frequently selected responses were “not starting an active treatment” (85.0%) and “withdrawing an active treatment” (65.9%). Forty-three percent of the respondents lacked training in palliative care, 73.3% considered their level of understanding to be good or very good, 62.3% stated that they became anxious when addressing planning for end-of-life care with a patient, and 81.3% stated that they had experienced some conflict with their LTE decisions. Conclusions Only 1 of every 4 internists knew the proper definition of LTE, with no association with the level of training in palliative care. |
| Databáze: | OpenAIRE |
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