Examine patients who received oncology treatment

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Assignment:

1. Dr. Gawande writes about a 2010 study from Massachusetts General Hospital (pp.177-178) which examined patients who received oncology treatment and those patients who received oncology treatments and palliative care. Dr. Gawande writes:

"In other words, our decision making in medicine has failed so spectacularly that we have reached the point of actively inflicting harm on patients rather than confronting the subject of mortality. If end-of-life discussions were an experimental drug, the FDA would approve it." (p. 178, emphasis mine)

Question: Who should be responsible for or accountable to patients to have end-of-life discussion? (Dr. Gawande is thinking of physicians, but is there anyone else who should be charged with facilitating end-of-life discussions?) What kind of training or skills do you think are needed for facilitating end-of-life discussions?

2. What do you think prompts individuals to complete Advance Directives? Are there barriers or reasons why people do not finish an Advance Directive? How would you advise a patient who was reluctant to finish a healthcare directive?

Reference no: EM133311345

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