Background and aims Despite an explosion of evidence-based guidelines, many decisions
in clinical practice remain shrouded in uncertainty. Physicians could view ambiguous …

Whereas modern clinicians are often reluctant to discuss prognosis with their patients, such
discussions were central to medical practice in ancient Greece. A historical analysis has the …

After three and a half decades of experience with the Medicare hospice benefit in the US,
despite excellent quality outcomes in symptom management, patient and family satisfaction …

Abstract Background: Between 69% and 82% of patients with advanced chronic illness
require palliative care (PC). The NECPAL CCOMS-ICO© tool can identify these individuals …

Results We here describe three emergent themes related to patients' emotional experiences
of care and illness:(1) emotional impact of interactions with individual providers: when …

Background Despite evidence that referral to pediatric palliative care reduces suffering and
improves quality of life for patients and families, many clinicians delay referral until the end …

Infants with neurological injury and their families face unique challenges in the neonatal
intensive care unit. As specialty palliative care support becomes increasingly available, we …

The last several decades have witnessed the emergence of evidence-based medicine as
the dominant paradigm for medical teaching, research and practice. Under an evidence …

Prognostic communication is essential for patients with advanced cancer to enable informed
medical decision-making and end-of-life planning. Discussing prognosis is challenging, and …

Background Treatment-limiting decisions (TLD) for severe traumatic brain injury (sTBI) have
been sparsely studied. This study determine prevalence, main reason for, categories and …