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Home Tags Death & Dying: Misc.

Tag: Death & Dying: Misc.

Many proxies of centenarians are not well-informed about the centenarians' thoughts and plans regarding the end of life

Many Proxies Unaware of Centenarians’ Thoughts on Death

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Proxies overestimate perception of end of life as threatening, underestimate longing for death
The total excess mortality attributed to Hurricane Maria is estimated at 2

~3,000 Excess Deaths Estimated Due to Hurricane Maria

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Reported death counts limited by physician lack of awareness of death certification process
The decision to overturn the End of Life Option Act has added stress and anxiety to terminally ill patients

Patient Distressed by Overturn of California End of Life Option Act

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Patient with ALS describes assisted death as last element of control, while losing control over his body
Life expectancy has declined in recent years in some high-income countries

Declines in Life Expectancy in Many High-Income Countries

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And increase in midlife death rates across racial and ethnic groups in the United States
Geographic variation in end-of-life spending can be explained by availability of services and physicians' beliefs

Factors Examined for End-of-Life Spending Levels in Cancer Care

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Physicians' beliefs, availability of services, but not patients' beliefs, explain geographic variation
Based on death records following Hurricane Maria

Death Records Estimate 1,139 Deaths Due to Hurricane Maria

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Accurate estimates of deaths from disasters needed for informing rescue, recovery, and policy decisions
Incorporating lay health workers into cancer care increases documentation of goals of care

Lay Health Workers Can Improve End-of-Life Cancer Care

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Incorporating LHWs into cancer care increases goals-of-care documentation, patient satisfaction
More than three-quarters of those living in residential care facilities have an advance directive

Majority of Those in Residential Care Have Advance Directives

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Geographical differences seen, with percentage of residents with directives ranging from 65% to 88%
Medicare fee-for-service beneficiaries were less likely to die in acute care hospitals in 2015 than in 2000

Decline in Medicare Patients Who Die in Acute Care Hospitals

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2000 to 2015 also saw increase in ICU use in last month of life, deaths in home or community setting
While nearly all physicians say end-of-life conversations are important

Many Physicians Not Prepared for End-of-Life Talks With Patients

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Additional training, reimbursement may foster these critical conversations, authors say