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I have a long interest in end-of-life issues and am a staunch advocate of a patient’s right to refuse treatment or even (when legally permitted) to request physician-assisted dying.

Learn about palliative care, hospice, and how to get help for your grief.Sign up to receive updates and resources delivered to your inbox. Read the latest and most popular End of Life Articles from Next Avenue. Because of advances in medicine, the dying process can be significantly extended. Articles. In this review, survival estimates ranged from 1 to 3 days for older adults with PPS scores of 10% compared with a range of 5 to 36 days for those with scores of 30%. These patients introduce complex clinical and ethical issues around feeding and communication that impact the role of the SLP and other health care professionals. But there’s one piece of advice that’s generally good for everyone: it helps to be prepared.The legal system is frequently called on to address end of life issues. MedlinePlus links to health information from the National Institutes of Health and other federal government agencies.

Seventeen studies were included in this review (9 with cancer and 8 with mixed diagnoses).

It’s normal for people to experience all sorts of emotions. Physicians must also demonstrate aptitude in comfort care, communication, cultural competency, and ethical principles. Healthcare Decisions. End-of-life issues are often complex moral, ethical, or legal dilemmas, or a combination of these, regarding a patient's vital physiologic functions, medical-surgical prognosis, quality of life, and personal values and beliefs. Healthcare decisions are a sensitive subject. For permissions, please e-mail: journals.permissions@oup.com.This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model ( Get the latest public health information from CDC: Caring for someone who is dying can be hard. (Mayo Foundation for Medical Education and Research) Search for other works by this author on:

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We analyzed study characteristics, the PPS score on admission, and primary outcomes, and explored differences in survival estimates by diagnosis. Read about how to provide physical, emotional, and spiritual comfort to relieve suffering when caring for a loved one who is dying.What is the difference between hospice and palliative care? The Palliative Performance Scale (PPS) has been widely used for survival prediction among patients with cancer; however, few studies have reviewed PPS scores in heterogeneous hospice populations across multiple care settings. She was admitted to LTC 2 years ago and is now totally dependent with severe dysphagia and minimal oral intake.