Journal of palliative medicine
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Dementia is a progressive terminal illness which requires decisions around aggressiveness of care. ⋯ Even among patients with advanced cognitive and functional impairment, ICU utilization in the last 30 days increased and varied by geographic region.
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Comparative Study
Is there any association between where patients spend the end of life and survival after anticancer treatment for gynecologic malignancy?
It remains unknown whether the end-of-life (EOL) environment influences survival after anticancer treatment, particularly for gynecologic malignancy. ⋯ Our current data could be hypothesis generating; it is possible that the EOL environment is a crucial prognostic factor for survival after anticancer treatment.
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Symptom distress is poorly described in persons living with HIV, with limited attention paid to physical and psychological symptom prevalence to inform optimal clinical care. ⋯ In the ART era, ambulatory HIV/AIDS patients continue to experience a high physical and psychological symptom burden. For those with advanced disease, psychological symptoms are particularly important. It is important to be observant of gender differences in patterns of symptom distress in HIV outpatient care settings. The high prevalence of hunger warrants attention as it may compromise ART initiation and adherence to ART.