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Introduction: Suffering at the end of life may be caused by many factors, including pain and other symptoms, concern about family and friends, and loss of control of one's life. Several authors have suggested that loss of meaning is pivotal in suffering. An ethical will (EW) is a statement,...
Objectives: To determine whether psychological variables, particularly depression, influence patients' willingness to share medical decisions with family members or friends. Design: Cross-sectional interviews. Setting: Oncology and general geriatrics outpatient clinics of an urban VA medical...
We compared the change over time of individual quality of life (QOL) versus health-related QOL (HRQOL) and functional status in palliative care patients with amyotrophic lateral sclerosis (ALS). Forty-two patients with ALS performed the following assessments: the ALS functional rating scale...
Purpose: To improve understanding of nursing home physicians' perspectives regarding endof- life care, and to suggest directions for further research. Methods: An exploratory qualitative design based on interviews of 12 nursing home physicians, 10 of whom were medical directors. Medical students...
Continuous parenteral hydromorphone is used to treat pain in palliative care. Case reports have suggested that neuroexcitatory symptoms, such as agitation, myoclonic activity, and even seizures may occur during administration. However, little information exists on the incidence of these side...
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