Many of the decisions necessary at the end of life require disclosure that "this is the end of life." To withhold that knowledge until some arbitrary time before death robs patients of the ability to deal with financial issues, issues of independence, issues of unresolved personal or family ...
who died from coronary heart disease, the authors compared those with incident and definite congestive heart failure (CHF) (n=60; 15%) and those with prevalent or probable CHF (n =70; 17.5%) to those with no history of CHF (n=198; 50%) concerning health status at the end of life....
PAOLINI, DOSPECIAL FOCUS SECTIONPaolini • Symptoms Management at the End of LifeNumerous, well-defined symptoms are associated withend of life when death is caused by a chronic or debilitat-ing illness (or both) such as cancer, HIV/AIDS, Alzheimer’sdementia, and congestive heart failure. ...
for example, where we know that life expectancy will be short. But it turns out that knowing exactly when someone with a terminal illness is going to die is difficult—and for many of these patients, additional weeks
Little is known about end-of-life (EOL) care received for patients dying withcongestive heart failure(CHF). One prior Medicare analysis found CHF patients received aggressive care at EOL and had low rates of hospice utilization. Research Objectives ...
Patients with heart failure (HF), particularly those admitted to hospital, have a reduced life expectancy.1 When asked to consider their preferred place for end‐of‐life (EOL) care if recovery appears unlikely, many patients express a wish to spend their final days at home.2 Yet analysis of...
In January 1997, at Medicine Grand Rounds, Dr Joanne Lynn discussed the approach to caring for and counseling a woman nearing the end of life.Mrs J, an enthusiastic and gracious woman, had chronic congestive heart failure, and she understood that death could occur soon. Dr Lynn explained that...
George is sixty-four and has a history of congestive heart failure. One night he is taken to the hospital with chest pain. George and those closest to him had previously decided that, no matter what, the doctor should try to do everything medically possible to extend George's life. So,...
Unit 1 Doctor’s Life 1.Do you agreethat it is sheer neuron overload on the doctor side that leads to the complaintthat doctors don’t listen?神经过载→医生不听的抱怨 nNeuron overload神经过载 nPatients’ high expectations患者高期望
Physicians have received little training to acquire needed interpersonal skills to address end-of-life issues. This article reviews practical approaches for conducting end-of-life discussions. These general guidelines can be used in situations such as advanced care planning, do not resuscitate orders, ...