Meltem Zeytinoglu, MD, MBA
Acknowledgment: The author thanks Sydney Dy, MD, MSc, for her feedback throughout the writing of this manuscript and Eva Dugoff, MPP, for her valuable comments on an earlier version of this manuscript.
Grant Support: By the American Cancer Society Physician Training Award in Cancer Prevention and Control.
Potential Conflicts of Interest: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-0008.
Requests for Single Reprints: Meltem Zeytinoglu, MD, MBA, Department of Internal Medicine, University of Chicago (NorthShore) Programs, 2650 Ridge Avenue, Room 5319, Evanston, IL 60201; e-mail, firstname.lastname@example.org.
Author Contributions: Conception and design: M. Zeytinoglu.
Analysis and interpretation of the data: M. Zeytinoglu.
Drafting of the article: M. Zeytinoglu.
Critical revision of the article for important intellectual content: M. Zeytinoglu.
Final approval of the article: M. Zeytinoglu.
Administrative, technical, or logistic support: M. Zeytinoglu.
Collection and assembly of data: M. Zeytinoglu.
Zeytinoglu M. Talking It Out: Helping Our Patients Live Better While Dying. Ann Intern Med. 2011;154:830-832. doi: 10.7326/0003-4819-154-12-201106210-00011
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Published: Ann Intern Med. 2011;154(12):830-832.
Although dying is an inevitable part of the life cycle, there has been extensive political debate over end-of-life care. Participating in end-of-life care conversations can be emotionally challenging for everyone involved. Messages about serious or terminal illnesses can be very hard for patients and their families to hear, and physicians frequently struggle with the burden of delivering these messages. Still, evidence shows that conversations about end-of-life care options between physicians and patients can improve the quality of life of dying patients and help to relieve the emotional burden on surviving loved ones.
Legislation to support these discussions by consistently reimbursing physicians for their time spent performing this service has been blocked on multiple occasions. More research on how to improve end-of-life care will enable health care providers to optimize treatment of their patients. Overcoming political divides to support end-of-life care conversations is needed to promote care that is consistent with patients' values and needs and is a key step in encouraging better quality of life for dying patients.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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