Media Watch 537

Attached is the current issue of Media Watch (#537).

Of particular Interest:

A second class ending: End-of-life care for people who are homeless

U.K. (England) | Care Quality Commission – 31 October 2017 – There is huge variation in the quality of care that people receive at the end of their life. Homeless people face significant health inequalities: the average age of death is just 47 years. Their end-of-life care (EoLC) needs and preferences also differ considerably from the rest of the population. The Commission worked closely with the Faculty for Homeless & Inclusion Health and draw on their research findings to co-produce this discussion paper...1 It follows up from its 2016 report.2 When the Commission published ‘A different ending,’ it also produced 10 short briefing papers on EoLC for specific groups. This included a short paper looking at EoLC for homeless people.3 

1.   ‘A second class ending: Exploring the barriers and championing outstanding end-of-life care for people who are homeless,’ Care Quality Commission, November 2017.

2.   ‘A different ending: End-of-life care review,’ Care Quality Commission, May 2016. [Noted in Media Watch 16 May 2016 (#462, p.5)] 

3.   ‘People who are homeless’ (A different ending: Addressing inequalities in end-of-life care), Care Quality Commission, May 2016.


Do-not-attempt-resuscitation orders: Understanding and interpretation of their use in the hospitalised patient in Ireland. A brief report

JOURNAL OF MEDICAL ETHICS | Online – 3 November 2017 – Alarmingly, the authors’ results demonstrate that 26.8% of staff nurses and 30% of primary care physicians surveyed believed that a patient with a do-not-attempt resuscitation (DNAR) order could not receive any/at least one of a list of simple treatments including antibiotics, physiotherapy, intravenous fluids, pain relief, oxygen, nasogastric feeding or airway suctioning, which were higher percentages compared to the other hospital doctors and experienced nurses groups with statistically significant differences. Furthermore, a higher percentage of staff nurses (26.8%) and primary care physicians (22.5%) believed that a patient with a DNAR order could not be referred to hospital from home/a nursing home, when compared with other healthcare groups. These findings highlight continued misunderstanding and over-interpretation of DNAR orders.