Jane Harrington

TL;DR: Overall, half of the interventions designed to increase patients' participation in medical consultations resulted in increased patient participation, with slightly more significant results found for bids for clarification than question-asking, but there were significant improvements in other outcomes.

TL;DR: People with advanced dementia lived with distressing symptoms and service provision was not tailored to their needs, so longitudinal multidisciplinary input could optimise symptom control and quality of life.

TL;DR: The findings do not fully support the current United Kingdom policy of introducing ACP early in life-threatening disease and support and training are needed for health professionals to initiate such discussions.

TL;DR: While carers report high levels of psychological distress during advanced dementia, the experience of end of life care in dementia may be amenable to change with the provision of sensitive and timely information about the natural progression of dementia.

TL;DR: New evidence is provided on its acceptability and effectiveness for patients with advanced cancer, whether randomized or preference, and happiness with communication was unchanged or worse, and satisfaction with services decreased.