Evidence map›Paper›PMID 34732952›Full record

ArticleIndian journal of psychological medicine2021

Palliative Care and Legal Issues in Geriatric Psychiatry.

Bhavika Vajawat, Prakyath R Hegde, Barikar C Malathesh, Channaveerachari Naveen Kumar, Palanimuthu T Sivakumar, Suresh Bada Math

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of psychological medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Bhavika VajawatDept. of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0003-2472-0849
Prakyath R HegdeDept. of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0001-6019-6824
Barikar C MalatheshDept. of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0001-9107-1717
Channaveerachari Naveen KumarDept. of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
Palanimuthu T SivakumarDept. of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.ORCID https://orcid.org/0000-0001-9802-2520
Suresh Bada MathDept. of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
National Institute of Mental Health and Neurosciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is an increased risk of debilitating illnesses that often have no curative treatment with aging. The mainstay of treatment in many such conditions is palliative care: a holistic approach focused on preventing and relieving physical, psychosocial, legal, ethical, and spiritual problems. It involves the facilitation of end-of-life care decisions aimed at relieving distress and improving quality of life. In this article, the authors discuss the role of mental health professionals in legal issues related to palliative care in the elderly around decision-making, right to autonomy, euthanasia, and advanced directive. The cognitive decline associated with aging and mental health issues in the palliative care setting of an individual such as dementia, depression, and hopelessness, and impact on the family members like burnout may influence the overall capacity of that individual to make decisions about their treatment. While an individual has a right to self-determination and autonomy, withholding or withdrawing treatment has many legal and ethical implications, more so in those with incapacity, especially in India due to the absence of uniform legislation. The decision to withhold or withdraw treatment might be a restrictive choice due to limited options in a setting with a lack of palliative care options, poor psychosocial support, nonaddress of mental health issues, and lack of awareness. As the right to health is a constitutional right, and the right to mental health is legally binding under Section 18 of the Mental Health Care Act 2017, systematic efforts should be made to scale up services and reach out to those in need.

Indexed as

Advanced directivedecision-making capacityindividual autonomypalliative care

Identifiers

PMID34732952
PMCPMC8543619
OpenAlexW3194981901

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.