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[End-of-life careEnd-of-life care with the intense emotions, complex technical treatments, and stark life-or-deathDeath and dying implications involved presents some of the most difficult clinical decisions of all. Despite medicine’s recent efforts to explain options for care and to consider patients’ wishes, the methods doctors use to make clinical decisions still baffle most patients, family members, and others who have no medical training. Unfamiliarity with the professional medical culture in general and with basic medical concepts in particular causes some of the bafflement. Yet even doctors sometimes do not recognize the decision-making methods they use. To clarify these methods for all parties, this chapter describes clinical decision-making methods. It does so by addressing topics especially relevant to end-of-life care.]
Published: Mar 19, 2017
Keywords: End-of-life care; Bayesian probabilities; Medical futility; Hypothesis generation; End-of-life conflicts; Death and dying; Hospice care
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