Explore the latest in end-of-life care, including hospice and palliative care, estimating prognosis, palliative sedation, and more.
This JAMA Performance Improvement article uses the case of a patient with end-stage renal disease admitted for septic shock, peritonitis, and calciphylaxis who erroneously underwent tunneled central catheter placement after he elected to pursue only hospice care to discuss unintended errors introduced by computerized order entry and opportunities for health information technology system improvements.
This article describes the death of an 87-year-old woman during surgery and suggests possible improvements to end-of-life decision making in this context.
This essay discusses the use of “I” statements in communicating a prognosis to patients.
This Patient Page defines palliative care and explains who may most benefit, when it is most appropriate, and which clinicians might help administer it.
This randomized clinical trial compares the efficacy of a patient-directed, online advance care planning program plus an easy-to-read advance directive with that of an advance directive alone to increase advance care planning and patient-reported engagement among English- and Spanish-speaking populations.
This randomized clinical trial investigates if a culturally tailored patient navigator intervention can improve palliative care outcomes for Latino patients with advanced cancer.
This Viewpoint describes the importance of bias and heuristics to patient choices in palliative care and other types of health care.
This study uses telephone interviews of patients and their surrogates to evaluate surrogates’ knowledge of patients’ treatment goals and confidence in their ability to make patients’ treatment decisions.
This Viewpoint examines psychiatric physician-assisted death in terms of the stance of the American Association of Suicidology and the societal commitment to the prevention of suicide.
This essay describes the process of coming to an understanding of grief following the death of a family member who had cancer.
This Perspective uses an end-of-life care vignette to illustrate the need to clarify the meaning of the term comfort care.
This prognostic study develops and validates a nomogram to assess the probability of survival at 3, 6, and 12 months in patients from Taiwan with metastatic lung cancer who were referred for radiotherapy to treat osseous metastases.
In this narrative medicine essay, a geriatric and palliative care physician shares his understanding that the patience, flexibility, humility, and presence required to grow a garden are entirely appropriate for end-of-life patient care.
This randomized clinical trial tests the effect of consultation with a lay health worker on documentation of goals of care and health care use, costs, and satisfaction among patients with advanced-stage or recurrent cancer at a Veterans Affairs medical center.
This cohort analysis of Medicare beneficiaries in the American Heart Association Get With The Guidelines–Heart Failure registry assesses rates of discharge to hospice, readmission after hospice, and survival in hospice in patients following hospital discharge.
This article explores the importance of goals of care discussions between clinicians and patients before setting a do-not-resuscitate order or administering CPR.
In this narrative medicine essay, a physician and her family struggle with their mother’s intention to continue chemotherapy when treatment will cause more harm than good.
This JAMA Viewpoint discusses trends towards implementing palliative care for patients with serious chronic illness earlier than end of life, and it highlights challenges around the use of opioids for pain control in this broader population of patients due to longer periods of use and greater likelihood of mood and substance use disorders.
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