PA Medical News about severe illness; patients; invasive treatments; discussion

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Discussing Treatment Preferences With Patients Who Want "Everything"
Annals of Internal Medicine, 09/01/09

Quill TE et al. – Asking patients and families to explore the underlying emotions, concerns, and values that prompt their requests for "everything" is a powerful way to inform the health care team about a patient's treatment philosophy. This exploration provides information on the relative value that patients place on extending life versus avoiding suffering in light of their medical condition. Physicians can use this information to make recommendations about invasive treatments. Many times, limits can be set after this conversation, but CPR and other invasive treatments are sometimes desired no matter how small the benefits and how high the burdens. In these cases, patient preferences should generally be honored, but clinical judgment must still be exercised to maximize benefit and minimize harm.

Managing Weight in Persons Living with Severe Mental Illness in Community Settings: A Review of Strategies Used in Community Interventions
Issues in Mental Health Nursing, 10/27/09 Relevance Score: 67%

Determinants of wanting to seek full versus part-time paid employment among people with severe mental illness
Journal of Mental Health, 10/19/09 Relevance Score: 66%

Severe hypocholesterolemia in surgical patients, sepsis, and critical illness
Journal of Critical Care, 10/16/09 Relevance Score: 66%

Hospitalized Patients with 2009 H1N1 Influenza in the United States, April-June 2009
New England Journal of Medicine, 11/12/09 Relevance Score: 65%

How men and women in recovery give meaning to severe mental illness
Journal of Mental Health, 10/19/09 Relevance Score: 65%