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End-of-life care patterns shift for patients with heart failure in both US and Canada
Date:10/11/2010

may improve the quality of death for men at the end of life while rationalizing health care expenditures during this high-cost period," they conclude.

(Arch Intern Medicine. Published online October 11, 2010. doi:10.1001/archinternmed.2010.371, 10.1001/archinternmed.2010.365, 10.1001/archinternmed.2010.366. Available pre-embargo to the media at www.jamamedia.org.)

Editor's Note: Please see the articles for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Editorial: Palliative Care Essential to Properly Treat Patients at the End of Life

"Countries around the world expend substantial resources to relieve the suffering caused by the burden of disease," writes Rosemary Gibson, M.Sc., in an accompanying editorial. "Three articles published Online First in the Archives examine health care at the end of life."

"Conversations that allow the patient to describe what is important as he or she lives life with serious illness or near life's end should be paramount in guiding the course of treatment," Ms. Gibson writes. "High-quality palliative careprovided in hospitals, nursing homes, at home or in hospicecan help patients understand their illness and make informed decisions about their care, together with their families. It must be integrated into the care of patients in all settings."

"Only with the explicit goal of relieving the burden of illness, and relieving the burden of treatment, will health care systems fulfill their intended purpose of caring for the patient."

(Arch Intern Medicine. Published online October 11, 2010. doi:10.1001/archinternmed.2010.360. Available pre-embargo to the media at www.jamamedia.org.)

Editor's Note: Ms. Gibson led the Robert Wood Johnson Foundation's strategy to improve end-of-life care for more than
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Contact: Melissa Schwarting
melissa.schwarting@duke.edu
919-660-1303
JAMA and Archives Journals
Source:Eurekalert

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