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Sender's message: Search: (palliative care terminal care hospice care hospice "end of life" advance directives withholding tre

Sent on Saturday, 2007 Apr 07
Search (palliative care OR terminal care OR hospice care OR hospice OR "end of life" OR advance directives OR withholding treatment OR bereavement OR grief) AND ("Ann Intern Med"[Journal] OR "Arch Intern Med"[Journal] OR "BMJ"[Journal] OR "Br Med J"[Journal] OR "Br Med J (Clin Res Ed)"[Journal] OR "CMAJ"[Journal] OR "JAMA"[Journal] OR "Lancet"[Journal] OR "J Lancet"[Journal] OR "N Engl J Med"[Journal] OR "Postgrad Med"[Journal] OR "Postgrad Med J"[Journal])

Entrez pubmed Results
Items 1 - 2 of 2
1: Ann Intern Med. 2007 Mar 20;146(6):443-9. Related Articles, LinkOut
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"I'm not ready for hospice": strategies for timely and effective hospice discussions.

Casarett DJ, Quill TE.

Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center and the University of Pennsylvania, Philadelphia, Pennsylvania, USA. casarett@mail.med.upenn.edu

Hospice programs offer unique benefits for patients who are near the end of life and their families, and growing evidence indicates that hospice can provide high-quality care. Despite these benefits, many patients do not enroll in hospice, and those who enroll generally do so very late in the course of their illness. Some barriers to hospice referral arise from the requirements of hospice eligibility, which will be difficult to eliminate without major changes to hospice organization and financing. However, the challenges of discussing hospice create other barriers that are more easily remedied. The biggest communication barrier is that physicians are often unsure of how to talk with patients clearly and directly about their poor prognosis and limited treatment options (both requirements of hospice referral) without depriving them of hope. This article describes a structured strategy for discussing hospice, based on techniques of effective communication that physicians use in other "bad news" situations. This strategy can make hospice discussions both more compassionate and more effective.

Publication Types:
  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

PMID: 17371889 [PubMed - indexed for MEDLINE]
2: CMAJ. 2007 Jan 30;176(3):310-1. Related Articles, LinkOut
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Manitoba physicians consider DNR guidelines.

Lett D.

Publication Types:
  • News

PMID: 17261820 [PubMed - indexed for MEDLINE]


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