Dying with cancer: patients' function, symptoms, and care preferences as death approaches

Article Abstract:

The symptoms, functional level and care preferences of dying cancer patients (colon, 520 subjects, and non-small cell lung, 939 subjects), symptoms, and care preferences have been studied in a retrospective analysis of data from a prospective cohort study. It was found that in the last six months of life functional decline, confusion and poorly controlled severe pain existed for these patients. Quality of care could be improved.

Standards, Usage, Laws, regulations and rules, Physiological aspects, Statistics, Colorectal cancer, Assisted suicide, Palliative treatment, Palliative care, Quality of life, Cancer patients, Right to refuse treatment, Right to die, Treatment refusal, Living wills, Lung cancer, Non-small cell, Non-small cell lung cancer

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Rethinking fundamental assumptions: SUPPORT's implications for future reform

Article Abstract:

Fundamental assumptions of the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT) and implications for future reform are discussed. The intervention was ineffective in changing communication, treatment patterns, and decision-making though counseling and information were given as planned. It may have failed because of strong psychological and social forces in place. Innovation at the system level and quality improvement in routine care may offer more in the way to opportunity for improvement.

Social aspects, Planning, Telecommunications systems, Practice, Physician and patient, Physician-patient relations, Nursing

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