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- Title
Associations Between End-of-Life Discussions, Patient Mental Health, Medical Care Near Death, and Caregiver Bereavement Adjustment.
- Authors
Wright, Alexi A.; Zhang, Baohui; Ray, Alaka; Mack, Jennifer W.; Trice, Elizabeth; Balboni, Tracy; Mitchell, Susan L.; Jackson, Vicki A.; Block, Susan D.; Maciejewski, Paul K.; Prigerson, Holly G.
- Abstract
The article discusses end-of-life discussions between doctors and patients, examining whether such conversations lead to fewer aggressive interventions by doctors. The authors suggest that doctors strive to find a balance between honoring the autonomy of patients with the concern for the infliction of psychological harm. Topics include less aggressive medical care given in the last week of life, the use of ventilation and resuscitation, and patients with terminal illnesses who are more realistic about the use of intensive therapies. Also discussed are increased rates of referrals to hospice care.
- Subjects
TERMINALLY ill; MEDICAL care; HOSPICE care; FAMILIES of the terminally ill; TERMINAL care facilities; DEATH; CRITICAL care medicine; TERMINAL care
- Publication
JAMA: Journal of the American Medical Association, 2008, Vol 300, Issue 14, p1665
- ISSN
0098-7484
- Publication type
Article
- DOI
10.1001/jama.300.14.1665