Correspondence to Ms Sally Hall, Supportive and Palliative Care, Royal Surrey County Hospital, NHS Foundation Trust, Guildford GU2 7XX, UK; sallyhall1{at}nhs.net Objective To provide insight into the ...

Introduction Individuals with chronic physical illness are at increased risk of negative psychological sequelae. Immersive virtual reality (VR) is an emerging treatment that might reduce these ...

Background The use of virtual reality (VR) is increasing in palliative care. However, despite increasing interest in VR, there is little evidence of how this technology can be implemented into ...

Objectives To assess the outcomes of percutaneous nephrostomy in England for renal decompression, in the context of metastatic cancer. Methods Retrospective observational study of all patients ...

Background Clinical Supervision has been around since the early 1990s in the UK and has been endorsed by government and professional bodies. Levels of engagement range from 18%–85% (Butterworth et al.

Correspondence to Helen P A Driessen, Department of Psychiatry, Section Medical Psychology and Psychotherapy, Erasmus Medical Center, Rotterdam, 3000 CA, The Netherlands; h.driessen{at}erasmusmc.nl ...

Background Clinicians hesitate to engage with advance care planning (ACP) in heart failure. We aimed to identify the disease-specific barriers and facilitators for clinicians to engage with ACP.

Background Virtual reality (VR) technology as a therapeutic intervention has been gaining attention in healthcare settings in recent years. Studies suggest that using the technology can help alleviate ...

Objective Terminal haemorrhage is a rare and distressing emergency in palliative oncology. We present an algorithm for the management of terminal haemorrhage in patients likely to receive end-of-life ...

Correspondence to Professor Moshe Y Flugelman, Department of Cardiovascular Medicine, Technion Israel Institute of Technology, Haifa, Israel; myf{at}technion.ac.il Informing families about the ...

Background Cholestatic itch is caused by intrahepatic liver diseases, such as primary biliary cirrhosis and extrahepatic obstruction of the biliary tree, often caused by tumours. The pathophysiology ...

Correspondence to Dr Eleonora Borelli, Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy; eleonora.borelli{at}unimore.it; Professor Mario Luppi, ...