Abstract:
:Despite the successful growth of the hospice movement during the past 30 years in the United States, almost 85% of Americans continue to die in hospitals or nursing homes. While the benefits of palliative care principles are well established, palliative care interventions remain underused in clinical practice in the settings in which most Americans die. Our premise is that physicians as a group perpetuate end-of-life suffering rather than ease the transition from life to death. We also believe that maintaining quality of life (QOL) at the end of life requires a multidimensional approach orchestrated by physicians drawing on the full range of available physical, psychological, social, and spiritual interventions. This article defines the meaning of QOL at the end of life and then examines the ramifications of failing to attend to QOL concerns in dying patients. It reviews strategies that physicians can use to advance palliative care approaches, thereby reducing terminally ill patients' suffering in the institutions in which most die.
journal_name
Mayo Clin Procjournal_title
Mayo Clinic proceedingsauthors
Rummans TA,Bostwick JM,Clark MM,Mayo Clinic Cancer Center Quality of Life Working Group.doi
10.4065/75.12.1305keywords:
subject
Has Abstractpub_date
2000-12-01 00:00:00pages
1305-10issue
12eissn
0025-6196issn
1942-5546pii
S0025-6196(11)63032-2journal_volume
75pub_type
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journal_title:Mayo Clinic proceedings
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