ArticlePalliative care and social practice2025
Navigating end-of-life conversations: A reflection on goals of care in Nepal.
Article in Palliative care and social practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Goals of care (GOC) discussions and advance care planning (ACP) emphasize patient's autonomy and dignity in healthcare delivery. These discussions become crucial as individuals approach the terminal phase of their illness, enabling them to make informed decisions about their end-of-life care (EOLC). Globally, there is a rising trend in discussions related to GOC, especially among those with serious or chronic conditions. In Asian countries, including Nepal, cultural factors, family dynamics, and limited awareness among healthcare professionals hinder ACP implementation. Nepal faces challenges in healthcare accessibility, with a significant portion of healthcare expenditure directed toward the elderly population. Palliative care medicine has made some progress in Nepal, despite the scarcity of its resources. Cultural influences contribute to healthcare providers' and patients' unawareness and limited proactive involvement in end-of-life decision-making. The integration of GOC discussions in Nepal's healthcare system is imperative to ensure access to basic palliative care resources in both rural and urban areas. Efforts should focus on addressing challenges in palliative care and promoting understanding of GOC concepts with clear documentation, comprehensive EOLC plans, and increased awareness among both healthcare providers and the public. Implementing a centralized record system can enhance nationwide access to GOC information, contributing to a patient-centered healthcare system.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.