“Whoa! It’s like Spotify but for academic articles.”

Instant Access to Thousands of Journals for just $40/month

Drawing the line

Herndon et al.1 raise a critical issue that has long plagued hospice, i.e., when to stop active treatment. Even the definition of "active treatment" remains fuzzy, although the World Health Organization does try, as noted by Herndon et al.1 This delineation is more than just an academic exercise because it is clearly tied to the finan- cial existence of hospice. Unfortuna- tely, this is not new, as reflected in the following 1982 testimony before the House Subcommittee on Health de- bating the proposed Medicare Hos- pice Benefit:2 First, where do you draw the line between conventional care and hospice care? Hospice care is not just TLC or tender loving care. It is also the management of a per- son's physical pain and comfort. Throughout the initial legisla- tion that you are reviewing and the interpretive congressional handouts, there are a diversity of terms such as "palliative," "cur- ative," and "aggressive acute ther- apies," which are poorly defined and less well understood. For example, a hospice patient with a painful bone metastases not responding to adequate treatment with analgesics can be "palliated" with localized radia- tion therapy. Likewise, a patient with a pain- rendering bowel obstruction due to recurrent http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Hospice and Palliative Medicine SAGE

Loading next page...

Sorry, we don’t have permission to share this article on DeepDyve,
but here are related articles that you can start reading right now:

Explore the DeepDyve Library

How DeepDyve Works

Spend time researching, not time worrying you’re buying articles that might not be useful.

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from Springer, Elsevier, Nature, IEEE, Wiley-Blackwell and more.

All the latest content is available, no embargo periods.

See the journals in your area

Simple and Affordable Pricing

14-day free trial. Cancel anytime, with a 30-day money-back guarantee.

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Best Deal — 25% off

Annual Plan

  • All the features of the Professional Plan, but for 25% off!
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

billed annually