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1

Styes, Abbie A., and Mary J. Isaacson. "Improving Rural Emergency Nurses Comfort during Palliative and End-of-Life Communication." Online Journal of Rural Nursing and Health Care 21, no. 1 (2021): 100–117. http://dx.doi.org/10.14574/ojrnhc.v21i1.647.

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Background: Emergency nurses (ENs) often care for patients nearing the end of their lives or with life-limiting illnesses. However, ENs are hesitant to initiate palliative or end-of-life (PEOL) discussions because of a lack of comfort with these topics. Many ENs have no formal PEOL communication training which contributes to the lack of comfort with PEOL discussions in the emergency department (ED). Thus, the purpose of this quality improvement project was to determine how PEOL communication training affected rural ENs perceived comfort level during PEOL conversations.
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Vieira Silva, Sara, Elga Freire, and Helena Pessegueiro Miranda. "Palliative Care in End-Stage Liver Disease Patients Awaiting Liver Transplantation: Review." GE - Portuguese Journal of Gastroenterology 27, no. 6 (2020): 417–28. http://dx.doi.org/10.1159/000507336.

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<b><i>Introduction:</i></b> End-stage liver disease (ESLD) is the advanced phase of most liver diseases. The cure is liver transplantation (LT), only available for a minority of patients. This review summarizes the evidence regarding palliative care (PC) in ESLD patients awaiting LT. <b><i>Methods:</i></b> Review of the literature available in Medline, Scopus and Web of Knowledge, with keywords ESLD and PC. <b><i>Results:</i></b> Fifteen of the 230 articles reviewed met the inclusion criteria. Ten main themes were addresse
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Kulamikhina, Irina V., Zhanbota B. Esmurzaeva, Dinara G. Vasbieva, and Aleksei Yu Alipichev. "Supporting English competence development in university teachers: Principles and practices." New Trends and Issues Proceedings on Humanities and Social Sciences 6, no. 1 (2019): 256–68. http://dx.doi.org/10.18844/prosoc.v6i1.4177.

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In today’s world, the English language communicative competence is a major soft skill of university teachers which is needed for personal and professional fulfilment and career development. This study aimed at the design and practical realisation of the 72-hour English course stimulating the teaching staff’s engagement in language learning and English communicative competence development at the Omsk State Agrarian University. The authors have discussed the principles and approaches to the course content design and efficacy of four classroom management strategies: the use of real life communica
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Kishi, Tatsuya, Naoya Sakurada, Mayumi Horikawa, et al. "COT-15 LITERATURE REVIEW ON THE DECISION MAKING OF THE BRAIN TUMOR PATIENT." Neuro-Oncology Advances 1, Supplement_2 (2019): ii43. http://dx.doi.org/10.1093/noajnl/vdz039.195.

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Abstract BACKGROUND Patients with primary brain tumors find it difficult to make decisions during the advanced disease stage and experience decreased consciousness. It is important for patients to receive supported decision-making early. Medical staff should know what to do and when to do it,but there are no clear guidelines. Therefore,we reviewed the literature for supported decision-making for primary brain tumor patients,particularly to provide information for understanding trends reported in previous research. METHOD On January 1,2019,we conducted a search using keywords,such as “brain tum
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Xiang, Biao. "Suspension: Seeking Agency for Change in the Hypermobile World." Pacific Affairs 94, no. 2 (2021): 233–50. http://dx.doi.org/10.5509/2021942233.

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"Suspension" is the translation of the Chinese term xuanfu, which has been widely used in public discussions in China since the mid-2010s. Suspension indicates a state of being in which people move frequently, conduct intensive labour, and pause routine life—in order to benefit fast and then quickly escape. People keep moving, with no end in sight, instead of changing their current conditions, of which they disapprove. As a result, frantic entrepreneurial energy coexists with political resignation. Suspension is a life strategy, a multitude of experiences, a feeling—and now, a keyword: a cryst
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Agustina, Arlene, and Livia Clarista. "The Application of Utility in Indonesia Based on the Principles of Utilitarianism." FIAT JUSTISIA:Jurnal Ilmu Hukum 12, no. 4 (2018): 346. http://dx.doi.org/10.25041/fiatjustisia.v12no4.1381.

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Utilitarianism is a principle claiming that the greatest amount of happiness is an end that should exclusively guide all actions of both government and individuals. The fact that people value happiness is considered to be morally right. This principle is pursued by Jeremy Bentham, who believes that the two sovereigns in life are pleasure and pain. It holds an important aspect in law enforcement since it sees what will benefit people the most as the main discussion. Even though there is still some party that opposes or overlooks this view, especially in Indonesia, writers believe that utility i
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Douglas, Sara L., Amy R. Lipson, and Barbara J. Daly. "Analyzing Goals of Care in Advanced Cancer Patients and Their Family Caregivers: Evidence-based Research." POJ Nursing Practice & Research | Volume 2- Issue 1 – 2018 2, no. 1 (2018): 1–4. http://dx.doi.org/10.32648/2577-9516/2/1/003.

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Objective: The study objective was to determine concordance between patients and family caregivers’ preferences for quality or length of life over time. Background: Patients with advanced cancer are confronted with difficult decisions throughout their course of treatment and at end of life (EOL). These decisions can be influenced by their family caregivers’ preferences for the patient’s cancer treatment. Methods: Using a longitudinal, descriptive study design from an on-going study, data were collected on an adult sample of patients with advanced stage GI or lung cancers and their family careg
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8

Sminkey, Patrice V. "End-of-Life Discussions." Professional Case Management 21, no. 3 (2016): 154–55. http://dx.doi.org/10.1097/ncm.0000000000000155.

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9

Hodges, Marian O. "End-of-life discussions." Journal of General Internal Medicine 9, no. 2 (1994): 113–15. http://dx.doi.org/10.1007/bf02600213.

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10

Ballard, Heather A. "Remapping End of Life Discussions." Anesthesia & Analgesia 132, no. 2 (2021): e25-e26. http://dx.doi.org/10.1213/ane.0000000000005277.

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11

Nurdin, Elan Artono, Fahrudi Ahwan Ikhsan, Fahmi Arif Kurnianto, and Bejo Apriyanto. "APPLICATION OF CONTEXTUAL TEACHING LEARNING TO LEARNING RESULTS IN UNDERSTANDING THE LIFE ENVIRONMENT IN SMP NEGERI 2 SUKODONO." Geosfera Indonesia 1, no. 1 (2017): 13. http://dx.doi.org/10.19184/geosi.v1i1.6189.

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Based on observations made on 5 April in the class VIII-B State Junior High School Sukodono diketahuibibly that 75% of students that geographical social studies subjects boring because too many concepts that should be memorized they lack understanding of the benefits of geography lessons for real life, and rarely observe out of class. Strong indications that underlie the difficulties of students to understand the material presented among others due to the lack of ability of students in solving problems IPS Geography. It can be seen from the activity as well as student learning outcomes that sh
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12

Simm, Aimee Webb, Lorina Masterson Ainsworth, Sister Mary Sarah Macht, JoAnna Grace Adams, and Bonnie Louise Callen. "ICD and End-of-Life Discussions." Home Health Care Management & Practice 25, no. 3 (2013): 126–29. http://dx.doi.org/10.1177/1084822312473605.

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13

Gilligan, Timothy, and Thomas A. Raffin. "End-of-Life Discussions With Patients." Chest 109, no. 1 (1996): 11–12. http://dx.doi.org/10.1378/chest.109.1.11.

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14

Mula, Carole. "Discussions at the end of life." International Journal of Palliative Nursing 14, no. 6 (2008): 263. http://dx.doi.org/10.12968/ijpn.2008.14.6.30020.

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15

Eggenberger, Terry, Heather Howard, Dana Prescott, and George Luck. "Exploring Quality of Life in End-of-Life Discussions." American Journal of Hospice and Palliative Medicine® 37, no. 6 (2019): 465–73. http://dx.doi.org/10.1177/1049909119890606.

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Advance directives (ADs) allow individuals to legally determine their preferences for end-of-life (EOL) medical treatment and designate a health-care proxy to act on their behalf prior to losing the cognitive ability to make informed decisions for themselves. An interprofessional group of researchers (law, nursing, medicine, and social work) conducted an exploratory study to identify the differences in quality-of-life (QOL) language found within the AD state statutes from 50 US states and the District of Columbia. Data were coded using constant comparative analysis. Identified concepts were gr
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16

Kalowes, Peggy. "Improving End-of-Life Care Prognostic Discussions." AACN Advanced Critical Care 26, no. 2 (2015): 151–66. http://dx.doi.org/10.4037/nci.0000000000000086.

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Research has validated the desire of patients and families for ongoing prognostic information; however, few conversations occur before patients reach the advanced stages of their disease trajectory. Physician hesitance and delay in discussing unfavorable prognoses deny patients and families optimal time to prepare for critical decision making. Advanced practice registered nurses can play a crucial, complementary role with the critical care interdisciplinary team to implement strategies to improve communication about prognosis and end of life with patients and families. Clinicians should discus
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17

Burki, Talha Khan. "End-of-life discussions and care received." Lancet Oncology 14, no. 1 (2013): 16. http://dx.doi.org/10.1016/s1470-2045(12)70534-x.

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18

Kale, Minal S., Katherine A. Ornstein, Cardinale B. Smith, and Amy S. Kelley. "End-of-Life Discussions with Older Adults." Journal of the American Geriatrics Society 64, no. 10 (2016): 1962–67. http://dx.doi.org/10.1111/jgs.14285.

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19

Correa, Frances. "Medicare Will Support End-of-Life Discussions." Caring for the Ages 12, no. 8 (2011): 19. http://dx.doi.org/10.1016/s1526-4114(11)60222-9.

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20

Kalowes, Peggy. "Improving End-of-Life Care Prognostic Discussions." AACN Advanced Critical Care 26, no. 2 (2015): 151–66. http://dx.doi.org/10.1097/nci.0000000000000086.

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21

Arnold, RM. "NEGOTIATING CONFLICT IN END OF LIFE DISCUSSIONS." BMJ Supportive & Palliative Care 3, no. 2 (2013): 240.2–240. http://dx.doi.org/10.1136/bmjspcare-2013-000491.40.

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22

Costa, C., and E. Galembeck. "THE EVOLUTION OF THE KREBS CYCLE: A PROMISING THEME FOR MEANINGFUL BIOCHEMISTRY LEARNING IN BIOLOGY." Revista de Ensino de Bioquímica 13 (August 24, 2015): 9. http://dx.doi.org/10.16923/reb.v13i2.577.

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INTRODUCTION: Evolution has been recognized as a key concept for biologists. In order to motivate biology undergraduates for contents of central energetic metabolism, we addressed the Krebs cycle structure and functions to an evolutionary view. To this end, we created a study guide which contextualizes the emergence of the cyclic pathway, in light of the prokaryotic influence since early Earth anaerobic condition to oxygen rise in atmosphere. OBJECTIVES: The main goal is to highlight the educational potential of the material whose subject is scarcely covered in biochemistry textbooks. MATERIAL
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23

Pirnajmmudin, Hossein, and Sanaz Bayat. "Charles Taylor’s ontological hermeneutics and the question of existence in Marilynne Robinson’s Lila." Global Journal of Foreign Language Teaching 7, no. 1 (2017): 34–45. http://dx.doi.org/10.18844/gjflt.v7i1.2406.

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Abstract
 
 Charles Taylor’s contribution (1964-2007) to the question of human existence expands across a wide range of areas to include ontological hermeneutics, linguistics, philosophy, and ethics. His Christian sensibility colors his philosophy of human existence which proposes that the self finds itself as a moral linguistic being who can exist only against a background of distinctions of moral worth and value and who is embedded in a world of meanings and dialogical relation with other linguistic beings. Marilynne Robinson’s acclaimed novel Lila (2015) is an account of the life
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24

Childress, Sue. "Ethics at the End of Life." Home Health Care Management & Practice 20, no. 5 (2007): 414–17. http://dx.doi.org/10.1177/1084822307311829.

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Patients, families, and health care providers all face ethical issues at the end of life. Related to increased technology, decreased resources, and immense cultural diversity, these controversies are a common concern to providers in home care. Increased knowledge and skills related to ethical discussions are crucial tools for providers in home care. Providers'abilities to facilitate these discussions with families and patients at the end of life can ease the transition from aggressive care to hospice care. This article describes basic principles of an ethical discussion and discusses the commo
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25

Hunt, Louise. "Mandatory training needed for end of life discussions." Cancer Nursing Practice 13, no. 5 (2014): 8–9. http://dx.doi.org/10.7748/cnp.13.5.8.s9.

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26

Smyth, Dion. "Haematologists question timing of end of life discussions." Cancer Nursing Practice 15, no. 1 (2016): 14. http://dx.doi.org/10.7748/cnp.15.1.14.s16.

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27

Myers, Jeff. "Improving the quality of end-of-life discussions." Current Opinion in Supportive and Palliative Care 9, no. 1 (2015): 72–76. http://dx.doi.org/10.1097/spc.0000000000000108.

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28

Meyer, Star. "Care Management Role in End-of-Life Discussions." Care Management Journals 13, no. 4 (2012): 180–83. http://dx.doi.org/10.1891/1521-0987.13.4.180.

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How do we prepare our patients for decisions that will need to be made for end-of-life care? End-of-life care discussions should occur early on in the patient’s disease process and often requires a great deal of coordination between multiple caregivers. There are also ethical, cultural, social, and spiritual considerations during this very important time in the disease process. Research suggests that we are not doing an adequate job of addressing end-of-life care with our patients and that a great deal of money and resources are being spent in the last days of life when there may be no clinica
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29

Lones, Mark. "An Ethical Framework for End-of-Life Discussions." Bioethics in Faith and Practice 1, no. 1 (2015): 15–22. http://dx.doi.org/10.15385/jbfp.2015.1.1.4.

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30

Aldridge, Matthew, and Ellen Barton. "Establishing Terminal Status in End-of-Life Discussions." Qualitative Health Research 17, no. 7 (2007): 908–18. http://dx.doi.org/10.1177/1049732307299995.

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31

Hamano, Jun. "Prognostic predictors required for end-of-life discussions." Annals of Oncology 27 (November 2016): vii58. http://dx.doi.org/10.1093/annonc/mdw503.

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32

White, Peggy, Danielle Cobb, Terrie Vasilopoulos, Laurie Davies, and Brenda Fahy. "End-of-life discussions: Who's doing the talking?" Journal of Critical Care 43 (February 2018): 70–74. http://dx.doi.org/10.1016/j.jcrc.2017.08.031.

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33

Tarumi, Akiko, Saki Mimatsu, Tatsuya Morita, et al. "The oncologists' views toward end-of-life discussions." Palliative Care Research 11, no. 1 (2016): 301–5. http://dx.doi.org/10.2512/jspm.11.301.

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34

Maciejewski, Paul K., and Holly G. Prigerson. "Emotional Numbness Modifies the Effect of End-of-Life Discussions on End-of-Life Care." Journal of Pain and Symptom Management 45, no. 5 (2013): 841–47. http://dx.doi.org/10.1016/j.jpainsymman.2012.04.003.

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35

Burki, Talha Khan. "End-of-life discussions are being left too late." Lancet Oncology 13, no. 3 (2012): e94. http://dx.doi.org/10.1016/s1470-2045(12)70076-1.

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36

Brown, Alaina J., Megan J. Shen, Lois M. Ramondetta, Diane C. Bodurka, Robert L. Giuntoli, and Teresa Diaz-Montes. "Does Death Anxiety Affect End-of-Life Care Discussions?" International Journal of Gynecologic Cancer 24, no. 8 (2014): 1521–26. http://dx.doi.org/10.1097/igc.0000000000000250.

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ObjectivesThe aim of this study was to determine if a gynecologic cancer patient’s comfort level discussing end-of-life care issues with her caregivers is related to her death anxiety level.Materials/MethodsGynecologic oncology clinic patients were asked to rate their degree of agreeability with 4 statements regarding comfort level discussing end-of-life care issues. Participants also completed the Hoge’s Intrinsic Religiosity Scale and Templer’s Death Anxiety Scale.ResultsFour hundred one surveys were distributed. One hundred twenty-nine patients participated, with a response rate of 32.2%. T
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37

Odejide, Oreofe O., Angel M. Cronin, Nolan Condron, Craig C. Earle, Joanne Wolfe, and Gregory A. Abel. "Timeliness of End-of-Life Discussions for Blood Cancers." JAMA Internal Medicine 176, no. 2 (2016): 263. http://dx.doi.org/10.1001/jamainternmed.2015.6599.

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38

Pantilat, Steven Z. "Initiating End-of-Life Discussions With Seriously Ill Patients." JAMA 285, no. 22 (2001): 2906. http://dx.doi.org/10.1001/jama.285.22.2906.

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39

Quill, Timothy E. "Initiating End-of-Life Discussions With Seriously Ill Patients." JAMA 284, no. 19 (2000): 2502. http://dx.doi.org/10.1001/jama.284.19.2502.

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40

Nalley, Catlin. "Who Leads End-of-Life Discussions Matters, Study Reports." Oncology Times 38, no. 13 (2016): 12. http://dx.doi.org/10.1097/01.cot.0000489506.42518.d5.

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41

Bradley, Elizabeth H., Vasum Peiris, and Terrie Wetle. "Discussions About End-of-Life Care in Nursing Homes." Journal of the American Geriatrics Society 46, no. 10 (1998): 1235–41. http://dx.doi.org/10.1111/j.1532-5415.1998.tb04539.x.

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42

Young, Kathleen A., Margaret M. Redfield, Jacob J. Strand, and Shannon M. Dunlay. "End-of-Life Discussions in Patients With Heart Failure." Journal of Cardiac Failure 23, no. 11 (2017): 821–25. http://dx.doi.org/10.1016/j.cardfail.2017.08.451.

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43

Merdad, A., S. Liu, J. Cloutier, and M. Kass. "MEDICAL TRAINEES PERSPECTIVES ON END-OF-LIFE CARE DISCUSSIONS." Canadian Journal of Cardiology 33, no. 10 (2017): S16. http://dx.doi.org/10.1016/j.cjca.2017.07.048.

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44

Stevens, Patricia. "A Thoughtful Approach to Neonatal End-of-life Discussions." Neonatology Today 16, no. 3 (2021): 137–39. http://dx.doi.org/10.51362/neonatology.today/20213163137139.

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45

LIPTZIN, BENJAMIN. "End-of-life issues in elderly patients." Palliative and Supportive Care 4, no. 2 (2006): 155–57. http://dx.doi.org/10.1017/s1478951506060214.

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Objective: To describe elderly-specific issues in end-of-life care.Methods: Literature review and case examples.Results: There is great heterogeneity in elderly patients' responses to end-of-life care.Significance of results: Developmental and individual issues need to be considered in end-of-life discussions.
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46

Pirl, William F., Jennifer Lerner, Lara Traeger, Joseph A. Greer, Areej El-Jawahri, and Jennifer S. Temel. "Oncologists' dispositional affect and likelihood of end-of-life discussions." Journal of Clinical Oncology 34, no. 26_suppl (2016): 9. http://dx.doi.org/10.1200/jco.2016.34.26_suppl.9.

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9 Background: Oncologist-patient end-of-life (EOL) discussions are associated with less aggressive care at EOL. Prior research on EOL discussions has not explored the role of oncologists’ dispositional affect, trait patterns of emotional responses. Affect could possibly facilitate or hinder broaching difficult EOL topics. We examined associations between oncologists’ disposition for experiencing positive and negative affect and likelihood of EOL discussions reported by their patients with advanced cancers. Methods: 350 patients with incurable lung and GI cancers were enrolled in a randomized t
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47

Dettmers, C., C. Weich, C. Herrmann, et al. "Fallvignetten aus der neurologischen Rehabilitation bei Patienten mit Post-COVID-Syndrom." Neurologie & Rehabilitation 27, no. 03 (2021): 167–75. http://dx.doi.org/10.14624/nr2103001.

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Case vignettes from neurological rehabilitation in patients with post-COVID syndrome – Suggested discussion for performance diagnosticsC. Dettmers, C. Weich, C. Herrmann, R. Saile, M. Preuss, S. H. Chanyalew, L. Schleicher, D. Klaasen van Husen, J. Randerath, S. Stoll, M. Tempfli, M. Vieten, M. JöbgesAbstractSecondary illness after a previous infection with SARS-CoV-2 covers a wide spectrum in terms of organ damage, symptoms, duration, course and, above all, the severity of the disease. In patients who have been ventilated for a long time in an intensive care unit, one will look very carefully
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48

Schmit, Jessica Marie, Lynne Meyer, Jennifer Michelle Duff, and Julia Lee Close. "Housestaff perspectives on end-of-life training during medical school and residency." Journal of Clinical Oncology 33, no. 29_suppl (2015): 27. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.27.

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27 Background: Participating in end-of-life discussions and delivering bad news is integral to oncology practice. Poor communication skills can negatively impact a patient’s understanding and acceptance of their disease process, increase their anxiety, and lead to anger and depression. Hematology/Oncology fellowship training (HOFT) programs may assume incoming fellows are capable of doing this well. A study by Hebert et al. revealed 37% of HOFT programs provide little to no formal training in this area. Our study sought to assess housestaff preparedness and comfort with end-of-life (EOL) discu
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49

Deckx, Laura, Hayley R. Thomas, Nicolas A. Sieben, Michele M. Foster, and Geoffrey K. Mitchell. "General practitioners’ practical approach to initiating end-of-life conversations: a qualitative study." Family Practice 37, no. 3 (2019): 401–5. http://dx.doi.org/10.1093/fampra/cmz074.

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Abstract Background As doctors who provide care across the life-course, general practitioners (GPs) play a key role in initiating timely end-of-life discussions. Nonetheless, these discussions are often not initiated until close to death. Given the ageing of the population, GPs will be confronted with end-of-life care more often, and this needs to become a core skill for all GPs. Objective To describe GPs’ approach to initiating end-of-life discussions. Methods Fifteen GPs or GP trainees from South-East Queensland, Australia, were purposively recruited to participate in a semi-structured inter
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50

Mack, Jennifer W., Angel Cronin, Nathan Taback, et al. "End-of-Life Care Discussions Among Patients With Advanced Cancer." Annals of Internal Medicine 156, no. 3 (2012): 204. http://dx.doi.org/10.7326/0003-4819-156-3-201202070-00008.

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