Jason W. Boland

Jan 24, 2025 | bmj.com | Jason W. Boland

News & ViewsGetting assisted dying...

Dec 7, 2024 | bmj.com | Jason W. Boland

Dear Editor,Dr Salisbury rightly states that even if the assisted dying bill becomes law, it is still a long time before terminally ill patients potentially have choice over the timing and setting of their death. So, what can we all do now in our clinical practice? Approximately 1% of the population are in the last year of life (accounting for many GP consultations) and almost a third of hospital inpatients are in the last year of life.

Nov 1, 2024 | spcare.bmj.com | Alison Bravington |Michael Patterson |Jason W. Boland |Michael Lind

AbstractBackground Malignant bowel obstruction is often inoperable, and can precipitate a transition from hospital to hospice care. The condition brings a high symptom burden for patients (severe pain, nausea and intractable vomiting) and an inability to eat and drink. Cochrane systematic reviews report significant ongoing uncertainties regarding its management (Feuer, Broadley. Cochrane Database Syst Rev. 2000; Issue 1. Art. No.: CD001219; Sowerbutts, Lal, Sremanakova, et al.

Apr 18, 2024 | journals.sagepub.com | Gillian Jackson |Catriona Jackson |Jason W. Boland |Imogen Featherstone

What is already known about the topic? •Delirium is highly prevalent and associated with poor outcomes in palliative care. •Evidence-based delirium guidelines are not fully implemented in practice, and their implementation can be challenging. What this paper adds? •Collecting data on delirium outcomes and guideline-adherence from hospice clinical records is feasible. •Demonstrated feasibility of a multi-professional (clinical, domestic and management) implementation strategy.

Jan 25, 2024 | journals.plos.org | Alison Bravington |Jason W. Boland |Sarah L. Greenley |Michael Lind

Citation: Bravington A, Boland JW, Greenley S, Lind M, Murtagh FE, Patterson M, et al. (2024) Exploring pathways to optimise care in malignant bowel obstruction (EPOC): Protocol for a three-phase critical realist approach to theory-led intervention development for shared decision-making. PLoS ONE 19(1): e0294218.