Related Experiment Video
Updated: Aug 9, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Challenges to delivering evidence-based palliative medicine
Caroline Barry1, Paul Paes2, Simon Noble3
1Norfolk and Norwich NHS Foundation Trust, Norwich, UK, and clinical associate professor in translational and clinical medicine, University of East Anglia, Norwich, UK caroline.barry@nnuh.nhs.uk.
Palliative medicine faces challenges in research and clinical practice, with knowledge gaps widening. While digital health offers promise, evidence-based solutions are needed for enduring patient care issues.
Area of Science:
- Palliative Medicine
- Medical Specialties
- Healthcare Research
Background:
- Palliative medicine, established in 1987, confronts identity and vision challenges.
- Foundations in research, education, and clinical excellence are weakening.
- Significant clinical knowledge gaps persist and are widening.
Conclusions:
- Palliative medicine must address existing problems with evidence-based solutions.
- Caution is advised when implementing new digital technologies without robust evidence.
- The specialty needs to remain progressive while grounded in strong research and clinical foundations.
Related Concept Videos
Ethical Issues
Ethical Concerns in Healthcare:
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Ethical Dilemmas II
Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Methods of Documentation III: PIE

