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Choosing Wisely Canada

Canadian Society of Palliative Care Physicians - Canadian Medical Association -University of Toronto

Docusate is a widely used stool softener. A review of the evidence found that docusate is no more effective than placebo in the prevention or management of constipation and suggests that the drug has very little utility when given alone for opioid-induced constipation. Compared with placebo, docusate did not increase stool frequency or soften the stool. Docusate also failed to alleviate the common symptoms of opioid-induced constipation such as difficulty passing stools, hard stools, abdominal ...

Choosing Wisely Canada

Canadian Society of Palliative Care Physicians - Canadian Medical Association -University of Toronto

Oxygen is frequently used to relieve shortness of breath in patients with advanced illness; however, supplemental oxygen does not benefit patients who are breathless but not hypoxic. Supplemental flow of air has been found equally effective to oxygen in this context.

Choosing Wisely Canada

Canadian Society of Palliative Care Physicians - Canadian Medical Association -University of Toronto

Advance care planning is a process, which includes choosing a surrogate or alternate decision-maker and communicating values or wishes for medical care. This helps prepare a person for in-the-moment medical decision-making, as well as guiding their surrogate or alternate decision-maker should the person lose capacity for decision-making. Advance care planning is appropriate for healthy adults and patients with their family and healthcare providers, early, recurrently, and as circumstances ...

Choosing Wisely Canada

Canadian Society of Palliative Care Physicians - Canadian Medical Association -University of Toronto

Palliative care provides an added layer of support to patients with life-limiting disease and their families. Symptomatic patients can benefit regardless of their diagnosis, prognosis or disease treatment regimen. Studies show that integrating palliative care with disease-modifying therapies improves pain and symptom control, as well as patient quality of life and family satisfaction. Early access to palliative care has been shown to reduce aggressive therapies at the end of life, prolong life ...

Choosing Wisely Canada

Canadian Association of Medical/Radiation/Surgical Oncology and Can. Partnership Against Cancer

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