João Paulo Correia
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jopauloc.bsky.social
João Paulo Correia
@jopauloc.bsky.social
Internal Medicine & Palliative care doctor🩺
Madeira, Portugal
Reposted by João Paulo Correia
“By making space for grief and vulnerability in professional life we nurture the human side of being a clinician.”

Most healthcare providers who look after people at the end of life actually find it one of the most rewarding things that they do.

#EOLC
#MedSky
January 4, 2025 at 11:02 AM
Reposted by João Paulo Correia
Politicians, healthcare managers and commissioners take note:

“End-of-life care hasn’t just been medicalised, it has been deprioritised. Healthcare systems and education focus on cures and life extension, sometimes at the expense of quality of life and compassionate care for dying people.”

#MedSky
January 4, 2025 at 10:35 AM
Reposted by João Paulo Correia
“Clinical education and training must ensure that future clinicians have generalist palliative care skills, know when to consult specialist palliative care, and, crucially, are unafraid and supported to have tender conversations about dying, the bedrock of person centred care.”

#MedSky take note!
January 4, 2025 at 10:33 AM
Reposted by João Paulo Correia
⭐️⭐️⬇️⬇️⭐️⭐️

“But, when clinicians avoid discussing death and patients’ preferences for the end of their lives, patients and their families lose crucial opportunities to connect, prepare, and ultimately make informed decisions.”

⭐️⭐️⬆️⬆️⭐️⭐️

Well said, @lucyselman.bsky.social!

#EOLC
#PalliativeCare
January 4, 2025 at 10:32 AM
Reposted by João Paulo Correia
Also true, and a big part of the problem. Even the kindest most compassionate doctors and nurses can feel they have somehow failed…

“Healthcare professionals also struggle to face death and the limits of what medical science can achieve, not least because it means facing their own mortality.”
January 4, 2025 at 10:30 AM
Reposted by João Paulo Correia
In her piece, @lucyselman.bsky.social talks beautifully about older times but

“These traditions have faded; at a community level, crucial knowledge and skills have steadily declined. As a result, we may not recognise and accept when death is near and may be more fearful of death and its aftermath.”
January 4, 2025 at 10:28 AM
Reposted by João Paulo Correia
An important fact:

“Between 75% and 90% of home based care at the end of life is provided by unpaid carers, often family members.”

And when that’s 24 hours around the clock, that’s really hard, especially when it’s just one or two people trying to do it.

#EOLC
#EndOfLifeCare
#PalliativeCare
January 4, 2025 at 10:12 AM
Reposted by João Paulo Correia
A lot of care happens outside hospitals and hospices…

“Seriously ill and dying people spend only about 5% of their final year of life in the direct care of healthcare services, with friends, family, and community members without healthcare training providing much of the remaining support.”

#EOLC
January 4, 2025 at 10:10 AM
Reposted by João Paulo Correia
“Death is as natural a process as birth, yet much of society refuses to see it that way.

This discomfort shows in our behaviour: we avoid seriously ill or bereaved people, and we shy away from discussing our own end-of-life wishes with family, friends, and health professionals.”
January 4, 2025 at 10:05 AM
Reposted by João Paulo Correia
The key message is here. ⬇️⬇️

“Despite growing public interest in death, support for end-of-life care and bereavement remains inadequate. We urgently need a community centred, public health approach to the social processes of dying and grieving, backed by properly funded palliative care.”
January 4, 2025 at 10:03 AM