Patient education and counseling
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This is the narratives of a family physician and a teacher of Medical Ethics, who herself suffers from Gaucher's disease. She was asked by a colleague to give an advice to a couple trying to decide whether to terminate a pregnancy of a fetus "like her". The ethical, emotional and communicational challenges of the conversation are described in this essay.
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To deepen the knowledge of frail elderly patients' preferences for participation in medical decision making during hospitalization. ⋯ More time should be given to thorough information and as few people as possible should be involved in the care of frail elderly. Linguistic problems should be identified to make it possible to take the necessary precautions to prevent negative impact on patient participation.