Candid end-of-life discussions

There seems to be more of a trend in hospice these days – patients are signing on sicker and are dying quicker, in part because they are not having candid, realistic discussions with their physicians about options and what their desires are for care. Late referrals impact hospice’s ability to provide education, effective symptom management and emotional support to help prepare patients and families as they face end-of-life. The article in USA Today ( underscores the need for these discussions and provides helpful resources. These can be difficult conversations to have, so the best time to start is well before you are sick, when it is easier and less emotional to discuss your wishes.

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