The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.
Initiating End-of-Life Discussions With Seriously Ill Patients: Addressing the "Elephant in the Room"
Open accessAbstract
Discussions about end-of-life issues are difficult for clinicians to initiate. Patients, their families, and clinicians frequently collude to avoid mentioning death or dying, even when the patient's suffering is severe and prognosis is poor. In addition to determining from observational research when and where communication problems exist, much can be learned from in-depth discussions with patients, family members, and physicians who are facing these issues together. Using segments of interviews with a patient with advanced pulmonary fibrosis, his son, and his primary care physician, this article illustrates and explores some of these communication issues, including the who, what, when, why, and how of end-of-life discussions. Studies from the medical literature, the patient's and physician's particular experience together, and the author's clinical experience provide practical insights into how to address these issues. Initiating end-of-life discussions earlier and more systematically could allow patients to make more informed choices, achieve better palliation of symptoms, and have more opportunity to work on issues of life closure. JAMA. 2000;284:2502-2507.
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Cites
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Self-citationDecisions near the end of life: professional views on life-sustaining treatments.
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Cited by
Wright, A. A. (2008) · JAMA · doi:10.1001/jama.300.14.1665 · Cited by 2,788
“But these discussions also mean confronting the limitations of medical treatments and the reality that life is finite, both of which may cause psychological distress.(1) Studies suggest that physicians and patients are ambivalent about talking about death and often avoid these conversations.”
Communication About Serious Illness Care Goals: A Review and Synthesis of Best Practices
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Redefining the “Planning” in Advance Care Planning: Preparing for End-of-Life Decision Making
Sudore, R. L., & Fried, T. R. (2010) · Annals of Internal Medicine · doi:10.7326/0003-4819-153-4-201008170-00008 · Cited by 852
Dignity-Conserving Care—A New Model for Palliative Care: Helping the Patient Feel Valued
Chochinov, H. M. (2002) · JAMA · doi:10.1001/jama.287.17.2253 · Cited by 725
Mack, J. W., Cronin, A., Keating, N. L., Taback, N., Huskamp, H. A., Malin, J. L., Earle, C. C., & Weeks, J. C. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2012.43.6055 · Cited by 560
Metadata
- Authors
- Quill, T. E.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2000-11-15
- Volume
- 284
- Issue
- 19
- Pages
- 2502
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1993561336
- Cited by
- 414
- References
- 43
- FWCI
- 20.64
- Type
- journal article
- Language
- en
- Open access
- bronze
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
