A Review of a Study, Regarding the End of Life, the Presence of Chronic Disease and Emergency Department Visits

The end of life is marked by various symptoms that might not always be immediately recognizable, and there often comes a phase where a person's health begins to decline from its usual state. Being able to discern the signs of impending natural death can be crucial for both the individual and their loved ones. It provides an opportunity to prepare and make necessary arrangements. From handling paperwork and bills to completing an end-of-life advanced directive form and other essential documents, there are several practical tasks that need attention. Additionally, decisions regarding burial versus cremation, choosing suitable burial ideas and memorial options, and discussions on caregiving play a significant role during this delicate season. Engaging in open and compassionate conversations with your loved ones about these matters can help you navigate the end-of-life journey with greater understanding and acceptance.

 

Join the conversation with your host, Marie Betcher, as she discusses a study by JAMA Network Open on Death and End-of-Life Care in Emergency Departments in the US to help increase awareness of the signs and symptoms of the end of life to avoid emergencies. By understanding these indicators, we can take proactive steps to prevent emergency situations and ensure more compassionate and appropriate end-of-life care.

 

Tune in!

 

Key Highlights from the Episode;

[00:30] Intro and what in for you in today’s show

[01:47] JAMA Network study and results and Marie's goal for the discussion   

[03:14] Multiple chronic conditions and what they are

[04:44] Signs and symptoms of decline in the end-of-life season

[06:54] Having conversations and making preparations for the end-of-life care 

[08:37] Recognizing when your loved one needs end-of-life care and focusing on comfort

[10:07] When CPR is appropriate and most difficult for patients

[13:33] Making the best choices early and getting the right care team in place

[14:23] How end-of-life care help in processing grief more positively

[15:56] Wrap-up and end of the show

Notable Quotes 

●      The end-of-life has many symptoms that we don’t always recognize, but like pregnancy and birth, there is often a season where there is a decline in a person’s normal state of health. [01:35]

●      When multiple disease processes are in place for yourself or a loved one, and there are signs of decline, it may be the end-of-life season. [04:31]

●      The dying process may begin a year or several years before someone's death. [05:52]

●      The hardest truth is that every single one of us will die, so it’s very helpful to have made preparations ahead of that time. [07:28]

●      Each of us needs to be responsible for our own follow-up care, so you might be the one to bring up the hard questions. [15:26]

Resources Mentioned

Reference article: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2798153

 

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