According to theAmerican Medical Association (AMA, 2016), the End of Life Care refersto the medical attention given to all patients who are in their finalhours of their lives, final days of their living. It incapacitatesthe care given to all the patients with very severe illness whoseprognosis is poor. In many cases whose disease condition is notcurable (AMA, 2016). All the medical decisions that are made at theEnd of Life Care contribute to major psychosocial ramifications andconsequences with a very significant impact on the quality of lifethat will be led by the patient facing his or her end of life. One ofthe most challenging decisions is always that made by the health-careproviders to the terminally ill patients. These decisions that aremade by medical professionals need to take into account the relieffrom suffering and also the beliefs of the patient and his familyabout the care given regarding the end of life.

Article Title


Robert H. Vander

Policies to improve end-of-life decisions in hospitals: communication, training of healthcare providers and use of quality assessment

The article describes the policies implemented to improve the practice of palliative care and ensure good outcomes from the care.

Entwistle V

Researching Experiences of Cancer Patients

The relevance of this article is the advocacy on ethical conduct of research in patients that are terminally ill and are in the end of life care.

Richards H.M

Ethics of qualitative research: are there issues for health care research

The ethics to be observed while conducting research on patients on palliative care.

Bakitas M.A

Early versus delayed initiation of concurrent palliative oncology care: patient outcomes in a randomised controlled trial

The expected outcomes in a randomised control trial.

Begum T.

Doctor-Patient Communication: A Review

The relevance of this article is the importance of the healthcare giver communicating with the patient to assess his or her responses to the palliative care

Sigurdardottir K, Kaasa S.

The European Association for Palliative Care basic dataset to describe a palliative care cancer population

This article relays the description of palliative care and the outcome of the care given to the patient.


This articlehas integration on processes to improve practice and associatedoutcomes in health care. This includes teaching on the promotion ofquality medical decision-making. This is in addition to qualityassessments, communication and the training of the health careproviders. The clinical judgments of the caregivers play a major rolein determining the outcome of the patient during the palliative care(Vander, 2016).


From thearticle, it is clear that the patient who happens to be the point ofresearch is the most important person in the research process. Theymust give approval for the research to be conducted on them. Itexplains the necessity of obtaining informed consent from thepatients, their family members and the caregivers on theunderstanding that their participation is voluntary. Informed consentwill contain a detail explaining to the patient that his or herparticipation is voluntary (Entwistle V, 2012).


There aremany issues to be considered in a health research. In this researchon palliative care, there are many issues to be considered. What arethe beliefs of the patient and his or her family? Their concernsregarding the kind of care being given are imperative. This articletries to articulate the reason for observing this evidence duringcare (Richards H.M, 2012).


Manyadvantages are resulting from an early initiation of palliative careas compared to a delayed initiation of the same care. This isaccording to Bakitas (2014). Early initiation of palliative careafter thorough patient consultation enables the patient to livecomfortably with his or he condition without too much suffering.


According toBegum (2014), communication plays a crucial role in patient care. Thehealthcare giver undertook every decision if consulted with thepatient receiving the care leads to a better outcome as the patientbecomes more receptive due to inclusion in decision making. Healthcaregivers are constantly being trained in better patient managementto improve the outcomes. (T, 2014)


According toSigurdardottir K. (2014), good professionalism by the health careprovider to a patient that is terminally ill directly reciprocates toa good outcome of the palliative care. It, therefore, means that whenthe right management is met, the right output is generated.(Sigurdardottir k, 2014). To determine whether the healthcare giversare getting the desired results, we should, therefore, assess whetherthe nursing practice is of higher quality.


AMA. (2016, 9 21). ethics on medical care. Retrieved from ethics on medical care: www.ama-assn.org/ama/pub/physician-resources/medical ethics

Bakitas M, T. T. (2015). Early versus delayed initiation of concurrent palliative oncology care: patient outcomes in the ENABLE III randomized controlled trial. Journal of clinical oncology, 1438- 1445.

Entwistle V, T. J. (2012). Researching Experiences of cancer: the importance of the methodoology. European Journal of Cancer Care, 232-237.

Richards H.M, S. L. (2012). Ethics of qualitative research: are there special issues for health services researche? Family Practice, 135-139.

Sigurdardottir k, K. (2014). The europen Association for palliative care basic dataset to describe a palliative care cancer population: Results from an international Delphi process. Palliative Medicine.

T, B. (2014). Doctor-Patient Communication. Juornal of bangladesh college of physicians and Surgeons, 84.

Van Mechelen, V. W. (2013). Defining the palliative care patient: a systematic review. Palliative Medicine, 197- 208.

Vander, R. (2016). policies to improve end oflife decisions in flemish hospitals: communication, training of heallthcare providers and use of quality assessments. biomed central, 1.