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452 results on '"Onwuteaka-Philipsen, BD"'

1. Patient-reported symptom monitoring improves health-related quality of life in lung cancer patients: The SYMPRO-Lung trial

Author

Billingy, NE, Tromp, VNMF, Becker - Commissaris, A, Hoek, Rianne J.A., Aaronson, Neil K., Bogaard, HJ, Hugtenburg, JG, Onwuteaka-Philipsen, BD, van de Poll-Franse, Lonneke, Belderbos, José, van den Hurk, Corina, Walraven, I., Pulmonary medicine, APH - Aging & Later Life, APH - Quality of Care, Clinical pharmacology and pharmacy, CCA - Cancer biology and immunology, CCA - Cancer Treatment and quality of life, ACS - Pulmonary hypertension & thrombosis, and APH - Health Behaviors & Chronic Diseases

Published
2022

4. Leidraad Supportteam Intensive Care: Een handreiking voor het opzetten van een supportteam ter ondersteuning van behandelaren op de IC, ontwikkeld vanuit ervaring en onderzoek in Amsterdam UMC

Author

du Perron, C, Klop, HT, Onwuteaka-Philipsen, BD, Pasman, HRW, Spijkstra, JJ, Steegers, M, ten Tusscher, B, van Zuylen, C, Public and occupational health, Internal medicine, APH - Quality of Care, APH - Aging & Later Life, Intensive care medicine, Anesthesiology, and APH - Health Behaviors & Chronic Diseases

Published
2020

14. Rapportage over de Monitor 2018 voor Stichting PaTz

Author

van der Plas, AGM, Koper, Ian, Pasman, HRW, Onwuteaka-Philipsen, BD, Public and occupational health, APH - Aging & Later Life, and APH - Quality of Care

Abstract

De PaTz Monitor is opgezet om het functioneren van de PaTz‐groepen te evalueren. In deze rapportage worden de resultaten van Monitor 2018 besproken. Deze rapportage begint met de belangrijkste aanbevelingen. Vervolgens wordt in hoofdstuk 1 de methode nader toegelicht, waarna in hoofdstuk 2 tot en met 7 en de bijlage de aanbevelingen nader onderbouwd en toegelicht worden.

Published
2019

15. Report on the Monitor 2018 for PaTz Foundation

Author

van der Plas, AGM, Koper, Ian, Pasman, HRW, and Onwuteaka-Philipsen, BD

Abstract

De PaTz Monitor is opgezet om het functioneren van de PaTz‐groepen te evalueren. In deze rapportage worden de resultaten van Monitor 2018 besproken. Deze rapportage begint met de belangrijkste aanbevelingen. Vervolgens wordt in hoofdstuk 1 de methode nader toegelicht, waarna in hoofdstuk 2 tot en met 7 en de bijlage de aanbevelingen nader onderbouwd en toegelicht worden.

Published
2019

18. Advance Care Planning in primary care.:Part 1: Work description and aids

Author

van der Plas, AGM, Onwuteaka-Philipsen, BD, Willems, Dick L., Eliel, Mirjam, de Wit-Rijnierse, Monique, Klinkenberg, marianne, Appeldoorn, Patricia, van den Berg, Dora, Schuilenburg, Wim, and van Beest, Rinel

Abstract

Wanneer zorgverleners op de hoogte zijn van voorkeuren voor zorg rond het levenseinde van oudere patiënten, kunnen ze naar deze kennis handelen. Advance Care Planning (ACP, ook wel vroegtijdige zorgplanning of proactieve zorgplanning genoemd) is een hulpmiddel om te zorgen dat zorg aansluit bij de wensen en behoeften van de patiënt en diens naasten. In deze handreiking staat beschreven hoe u Advance Care Planning kunt implementeren.

Published
2019

19. Vroegtijdig spreken over behandelwensen (proactieve zorgplanning) in de eerste lijn.: DEEL 2:TOELICHTING bij de werkbeschrijvingen en hulpmiddelen

Author

van der Plas, AGM, Onwuteaka-Philipsen, BD, Willems, Dick L., Eliel, Mirjam, de Wit-Rijnierse, Monique, Klinkenberg, Marianne, Appeldoorn, Patricia, van den Berg, Dora, Schuilenburg, Wim, van Beest, Rinel, Public and occupational health, APH - Aging & Later Life, and APH - Quality of Care

Abstract

Wanneer zorgverleners op de hoogte zijn van voorkeuren voor zorg rond het levenseinde van oudere patiënten, kunnen ze naar deze kennis handelen. Advance Care Planning (ACP, ook wel vroegtijdige zorgplanning of proactieve zorgplanning genoemd) is een hulpmiddel om te zorgen dat zorg aansluit bij de wensen en behoeften van de patiënt en diens naasten.

Published
2019

20. Advance Care Planning in Primary Care.:Part 2: Clarification of the work description and aids

Author

van der Plas, AGM, Onwuteaka-Philipsen, BD, Willems, Dick L., Eliel, Mirjam, de Wit-Rijnierse, Monique, Klinkenberg, Marianne, Appeldoorn, Patricia, van den Berg, Dora, Schuilenburg, Wim, and van Beest, Rinel

Abstract

Wanneer zorgverleners op de hoogte zijn van voorkeuren voor zorg rond het levenseinde van oudere patiënten, kunnen ze naar deze kennis handelen. Advance Care Planning (ACP, ook wel vroegtijdige zorgplanning of proactieve zorgplanning genoemd) is een hulpmiddel om te zorgen dat zorg aansluit bij de wensen en behoeften van de patiënt en diens naasten.

Published
2019

21. Vroegtijdig spreken over behandelwensen (proactieve zorgplanning) in de eerste lijn.: DEEL 1: WERKBESCHRIJVINGEN en HULPMIDDELEN

Author

van der Plas, AGM, Onwuteaka-Philipsen, BD, Willems, Dick L., Eliel, Mirjam, de Wit-Rijnierse, Monique, Klinkenberg, marianne, Appeldoorn, Patricia, van den Berg, Dora, Schuilenburg, Wim, van Beest, Rinel, Public and occupational health, APH - Aging & Later Life, and APH - Quality of Care

Abstract

Wanneer zorgverleners op de hoogte zijn van voorkeuren voor zorg rond het levenseinde van oudere patiënten, kunnen ze naar deze kennis handelen. Advance Care Planning (ACP, ook wel vroegtijdige zorgplanning of proactieve zorgplanning genoemd) is een hulpmiddel om te zorgen dat zorg aansluit bij de wensen en behoeften van de patiënt en diens naasten. In deze handreiking staat beschreven hoe u Advance Care Planning kunt implementeren.

Published
2019

27. Rapportage over de Monitor 2017 voor Stichting PaTz

Author

van der Plas, AGM, Pasman, HRW, van Wijmen, MPS, Koper, I, Schweitzer, BPM, Onwuteaka-Philipsen, BD, Public and occupational health, APH - Aging & Later Life, APH - Quality of Care, and CCA - Cancer Treatment and quality of life

Published
2018

40. Bewust afzien van eten en drinken

Author

Bolt, EE, Hagens, M, Willems, Dick L., Onwuteaka-Philipsen, BD, Public and occupational health, and EMGO - Quality of care

Published
2016

42. De Levenseindekliniek: resultaten van het eerste jaar

Author

Snijdewind, MC, Onwuteaka-Philipsen, BD, Willems, Dick L., Graduate School, Amsterdam Public Health, General practice, Public and occupational health, EMGO - Quality of care, and CCA - Quality of Life

Abstract

In 2012 the Dutch Dying with Dignity Society (NVVE) founded the End-of-life Clinic, which provides euthanasia or help with assisted suicide at the request of people whose own doctor will not carry out euthanasia if the legal requirements of due care can been fulfilled. As part of an independent evaluation, we looked at the applications received by the End-of-life Clinic during its first year and at the outcomes of these applications. We wrote an extensive article on this subject which was published in JAMA Internal Medicine. One of the most important outcomes is that the End-of-life Clinic rejected a large percentage of the requests for its services, mainly as these came from people with psychiatric conditions. This means that the fears that some people have concerning the alleged End-of-life Clinic policy 'you ask, we comply', appear to be unfounded. On the other hand, the End-of-life Clinic is certainly not the solution for all those people whose requests to their own doctor fall on deaf ears

Published
2016

43. The End-of-life Clinic:Results from the first year

Author

Snijdewind, MC, Onwuteaka-Philipsen, BD, and Willems, Dick L.

Abstract

In 2012 the Dutch Dying with Dignity Society (NVVE) founded the End-of-life Clinic, which provides euthanasia or help with assisted suicide at the request of people whose own doctor will not carry out euthanasia if the legal requirements of due care can been fulfilled. As part of an independent evaluation, we looked at the applications received by the End-of-life Clinic during its first year and at the outcomes of these applications. We wrote an extensive article on this subject which was published in JAMA Internal Medicine. One of the most important outcomes is that the End-of-life Clinic rejected a large percentage of the requests for its services, mainly as these came from people with psychiatric conditions. This means that the fears that some people have concerning the alleged End-of-life Clinic policy 'you ask, we comply', appear to be unfounded. On the other hand, the End-of-life Clinic is certainly not the solution for all those people whose requests to their own doctor fall on deaf ears.

Published
2016

48. Frequency and characteristics of use of morphine at the end of life:a cross-sectional study

Author

van der Heide, Agnes, van Delden, JJM, Geijteman, Eric, Zuylen, Lia, Maas, Paul, Onwuteaka-Philipsen, BD, EMGO - Quality of care, CCA - Quality of life, Public and occupational health, Public Health, and Medical Oncology

Abstract

OBJECTIVE: Intensive use of morphine at the end of life sometimes seems to represent a grey area between active ending of life and regular alleviation of symptoms. We explored the most important characteristics of use of morphine at the end of life.DESIGN: Cross-sectional questionnaire study.METHOD: A stratified sample was drawn of death cases that occurred in the Netherlands in 2010. Physicians were asked to fill out a questionnaire on medical decisions and care that had preceded death. The response rate was 74% (n = 6598).RESULTS: On the last day of life, 60% of all deceased patients received morphine. In 64% of the patients, the physician took into account that the use of morphine might hasten death. In 82%, the dosage was not or only gradually increased during the last 3 days of life. Hastening of death had been part of the purpose of administering morphine in 2.9% of the patients and the explicit purpose in 1.2%. In 2.1% of the patients, the physician indicated that the dosage was higher than needed to alleviate symptoms. Possible hastening of death as a result of the administration of morphine was not always discussed with the patient, his family or other caregivers; in 20% of the cases, it had not been discussed with anyone.CONCLUSION: Morphine is frequently used at the end of life. Physicians take more often than necessary into account that morphine potentially hastens death. Occasionally, morphine is deliberately used in higher dosages than needed with the aim of hastening death. Such practices may not always be compliant with legal and professional regulations to promote transparency and patient-centred care at the end of life.

Published
2014

49. Involvement of supportive care professionals in patient care in the last month of life

Author

Stoppelenburg, Arianne, Onwuteaka-Philipsen, BD, van der Heide, Agnes, Stoppelenburg, Arianne, Onwuteaka-Philipsen, BD, and van der Heide, Agnes

Abstract

In the last month of life, many patients suffer from multiple symptoms and problems. Professional supportive care involvement may help to alleviate patients' suffering and provide them with an optimal last phase of life. We investigated how often palliative care consultants, pain specialists, psychological experts and spiritual caregivers are involved in caring for patients in the last month of life, and which factors are associated with their involvement. Questionnaires were mailed to physicians who had attended the death of a patient from a stratified sample of 8496 deaths that had occurred in 2010 in the Netherlands. The response rate was 74 % (n = 6263). A palliative care team or consultant had been involved in the last month of life in 12 % of all patients for whom death was expected; this percentage was 3 % for pain specialists, 6 % for psychologists or psychiatrists and 13 % for spiritual caregivers. Involvement of palliative care or pain specialists was most common in younger patients, in patients with cancer and in patients who died at home. Involvement of psychological or spiritual caregivers was most common in older patients, in females, in patients with dementia and in patients who died in a nursing home. Involvement of supportive caregivers was also associated with the use of morphine and end-of-life decisions. Supportive care professionals are involved in end-of-life care in about a quarter of all non-suddenly dying patients. Their involvement is related to the setting where patients die, to the patient's characteristics and to complex ethical decision-making.

Published
2015

50. Tweede evaluatie Wet toetsing levensbeëindiging op verzoek en hulp bij zelfdoding

Author

van der Heide, Agnes, Legemaate, J (Johan), Onwuteaka-Philipsen, BD, Bolt, E, Bolt, Ineke, van Delden, H, Geijteman, Eric, Snijdewind, M, van Tol, DG (Donald), Willems, D, EMGO+ - Quality of Care, Amsterdam Public Health, Public and occupational health, Graduate School, General practice, EMGO - Quality of care, and Public Health

Published
2012

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