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Previous Volume 350:2582-2590 June 17, 2004 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

An 85-year-old man with New York Heart Association class IV heart failure, hypertension, and moderate Alzheimer's disease is admitted to the hospital after a hip fracture. His postoperative course is complicated by pneumonia, delirium, and pressure ulcers on his heels and sacrum. He is losing weight and is unable to participate in rehabilitation because of his confusion. This is his fourth hospitalization . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

The Role of Palliative Care

Physician–Patient Communication

Assessment and Treatment of Symptoms

Psychosocial, Spiritual, and Bereavement Support

Coordination of Care

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Hertzberg Palliative Care Institute, Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York.

Address reprint requests to Dr. Morrison at the Department of Geriatrics, Box 1070, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029, or at sean.morrison@mssm.edu.

Related Letters:

Palliative Care
Stovall E. L., Kane R. C., Morrison R. S., Meier D. E.
Extract | Full Text | PDF  
N Engl J Med 2004; 351:1148-1149, Sep 9, 2004. Correspondence

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