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Communicating Prognosis at the End of Life

by KathyKastner | Jan 26, 2015 | Blog, Medical Decisions

How to tell patients they’re likely to die Health care professionals often have difficulty facilitating hope and coping strategies when managing end-of-life issues.  Advising a limited life expectancy has an obvious impact on the patients, caregivers and their...

Dementia: Feeding tubes may add to risk of bed sores

by KathyKastner | Jan 26, 2015 | Blog, Medical Decisions

 PEG or Percutaneous endoscopic gastric feeding tubes, long assumed to help bed-bound dementia patients stave off or overcome bed sores/pressure ulcers, may instead make the wounds more likely to develop or not improve, according to a study. “We see a...

Substitute Decision-Makers Suffer Post-Traumatic-Stress

by KathyKastner | Jan 26, 2015 | Blog, Information, Medical Decisions, Research

Surrogates suffer in their role as patients’ decision-makers “A Systematic review: the effect on surrogates of making treatment decisions for others”– published in the Annals of Internal Medicine – was the topic of discussion on Pallimed: A Hospice...

Pain as a Cause of Agitated Delirium

by KathyKastner | Jan 26, 2015 | Blog, Information, Medical Decisions, Quality of Life, Research

“Can’t you do something about her pain?” An 85-year-old woman with multiple medical problems, including dementia, coronary artery disease, renal insufficiency, and peripheral vascular disease, was admitted to our hospital with urosepsis. Her hospital...

Quality of Life Better with Less Care at the End

by KathyKastner | Jan 26, 2015 | Blog, Information, Medical Decisions

The study focused on patients dying of cancer, but results apply across all chronic illnesses: a multicenter study suggests patients have a better quality of life towards the end if aggressive, life-prolonging measures are avoided and if they are able to die at home....
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