Growing up in West Virginia, I would hear older folks say, "Mr.Jones is failing now." They meant that he had entered the finalphase of disease and was now too tired to fulfill his usualobligations or even to care for himself and that he would soontake to his bed and die. This folk observation reflects theNational Hospice Study's finding that measures of the qualityof life of most persons dying of cancer declined substantiallyin their last few weeks.1 Except for iatrogenic episodes, cancerusually means long periods of functional stability or slow decline,followed by . . . [Full Text of this Article]
References
Related Letters:
Medicare Hospice Programs
Roda P. I., Gandhi H., Mor V., Castle N. G., Christakis N. A., Escarce J. J.
Extract |
Full Text
N Engl J Med 1996;
335:1926-1927, Dec 19, 1996.
Correspondence
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