There is often a fog that descends on patients, families, and health care professionals when they are navigating the difficult situation at the end of life. There is a lack of clarity regarding the trajectory of the illness, the true burdens and benefits of the myriad interventions, and how best to integrate palliative care into the overall care plan. In some illnesses, such as progressive cancer and dementia, there may be more clarity than in other conditions, such as advanced organ failure; this clarity can make overall decision making easier.
Fischer SM, Bekelman D, Bailey FA. Family Assessment of Quality of Care in the Last Month of Life. JAMA Intern Med. 2016;176(8):1102-1104. doi:10.1001/jamainternmed.2016.1208