… how the kidney disease trajectory is discussed and understood: (1) patients are shocked
by their diagnosis, (2) patients are uncertain how their disease will progress, (3) patients lack …

… There is little or nothing to lose in initiating palliative care discussions earlier and more
systematically in a patient's final trajectory, and so much is lost when these discussions are …

… early palliation offers important benefits to patients with incurable lung cancer throughout
the disease … Early discussions about EOL care may also help patients with the psychological …

… information relevant to discussions of treatment for advanced kidney disease with older
patients. The … regarding end-of-life care or advance care directives early in the patient course. …

… Physician and patient response rates were 75% and … Patients felt that the discussion should
occur earlier than did the physicians: at an earlier age, earlier in the natural history of disease…

… and past clinical discussions about prognosis on changes in illness understanding by patients
with … and ongoing prognostic discussions would improve illness understanding in patients. …

… This contrasts with earlier discussion about deterioration, but it lends support to his earlier
… ’ actions afford patients opportunities to volunteer discussion about disease progression …

… Initiating end-of-life discussions earlier and more systematically can allow patients to make
… End-of-life discussions are associated with fewer occurrences of resuscitation, ventilation, …

… palliative care discussions and that understanding of patients' preferences for these discussions
was … However, only a small proportion of COPD patients preferred early discussions with …

… discussions with patients with nonmalignant disease. This theme includes how and when …
discussion is initiated, barriers to discussion, patient concerns about the end of life, and patient …