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Volume 350:2029-2032 May 13, 2004 Number 20
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Dying and Decision Making — Evolution of End-of-Life Options
Timothy E. Quill, M.D.

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I recently helped my father to die. He was an engineer, independent, always on the go and in charge. He began to deteriorate rapidly from an ill-defined dementing illness, and his confusion and intermittent agitation did not respond to the standard treatments that were tried. He had made his wishes clear about avoiding any prolongation of his dying, but now he had lost the capacity to make decisions for himself. Furthermore, we did not know whether his remaining life span was measured in months or years. He was unable to sleep or relax at night, despite trials of neuroleptics, antidepressants, . . . [Full Text of this Article]


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From the University of Rochester School of Medicine, Rochester, N.Y.


Related Letters:

Dying and Decision Making
Angelotti M., Barolet L. R., Quill T. E.
Extract | Full Text | PDF  
N Engl J Med 2004; 351:611-612, Aug 5, 2004. Correspondence

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