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How To Plan A Dignified Death

June 20th, 2009 Comments off

Dealing with the end of life and the decisions that accompany it bring critical challenges for everyone involved-patients, families, friends and physicians. In fact, “managing” the progression toward , particularly when a dire diagnosis has been made, can be a highly complex process. Each person involved is often challenged in a different way.

Communication is the first objective, and it should start with the physicians. In their role, physicians are often tasked to bridge the chasm between lifesaving and life-enhancing care; thus, they often struggle to balance hopefulness with truthfulness. Determining “how much information,” “within what space of time” and “with what degree of directness for this particular patient” requires a skillful commitment that matures with age and experience.

A ’s guidance must be highly personalized and must consider , the risks and benefits of various , the patient’s symptom burden, the timeline ahead, the age and stage of life of the patient, and the quality of the patient’s support system. Read more…