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Caring for Patients at the End of LifeFacing an Uncertain Future Together$
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Timothy Quill

Print publication date: 2001

Print ISBN-13: 9780195139402

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780195139402.001.0001

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Hospice and Palliative Care: Clinical, Ethical, and Policy Challenges

Hospice and Palliative Care: Clinical, Ethical, and Policy Challenges

Chapter:
(p.148) 10 Hospice and Palliative Care: Clinical, Ethical, and Policy Challenges
Source:
Caring for Patients at the End of Life
Author(s):

Timothy E. Quill (Contributor Webpage)

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195139402.003.0011

This chapter examines the clinical, ethical, and policy challenges of hospice and palliative care in the U.S. It presents the case of two patients who both needed and received palliative care. Both patients benefited from palliative care interventions but they had unequal access to formal hospice programs and each found some limitations to the degree of palliation and support they received during the periods of their illnesses. These cases illustrate the potential effectiveness of palliative care and show that the clinical, ethical, and policy dilemmas are complex and at times vexing, even under the guidance of a skilled team of caregivers.

Keywords:   hospice care, palliative care, U.S, clinical challenges, medical ethics, policy challenges

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