An 85-year-old man with New York Heart Association class IV heart failure, hypertension,
and moderate Alzheimer's disease, who lives at home with his 84-year-old wife, is admitted …

Our nation's population is aging, and people are living with more chronic complex illnesses.
These conditions now include augmentative concerns, such as cognitive decline and frailty …

" What do you do?" a clear, concise, simple, and readily understood answer might be," I am
a heart specialist." An internist can say," a physician for adults," and then perhaps specify …

Palliative medicine is an emerging medical discipline in the United States, modeled after
similar efforts in Great Britain, Australia, and Canada. Increasingly, academic medical …

Dear Editor: As readers of JPM know, the field of palliative care has evolved and expanded
rapidly over the past few decades. Yet still, most patients, families and, indeed, many …

The number of people with heart failure is continually rising. Despite continued medical
advances that may prolong life, there is no cure. While typical heart failure trajectories …

Abstract The Emergency Department (ED) is the place where people most frequently seek
urgent care. For patients living with chronic disease or malignancy who may be in a crisis …

Palliative care focuses on relieving suffering and achieving the best possible quality of life
for patients and their family caregivers. It involves the assessment and treatment of …

Making palliative care decisions for a patient who lacks decision-making capacity presents
several challenges. Other people, such as family and caregivers, must choose for the …