HOME >> MEDICINE >> NEWS
Dad's death helps national expert evaluate end-of-life care

End-of-life options for seriously ill patients have improved considerably, but still have a ways ago, says a national expert who drew upon the recent experience of his father's death to take stock of the status of end-of-life care in the United States.

Timothy Quill, M.D., of the University of Rochester Medical Center, was asked by the New England Journal of Medicine to provide an update on developments in the field since 1991, when he wrote an article for NEJM detailing his role in the death of a terminally ill patient. Quill turned to his own father's recent death in the September 2003 to help illustrate the good and the bad in end-of-life care, in a piece in the May 13, 2004 issue of NEJM.

Quill's father, Joseph, died at the age of 84 after developing dementia that worsened rapidly after a bad fall at his home. His confusion and agitation skyrocketed and only worsened as doctors tried treatment after treatment. Soon after doctors treated his confusion and agitation with Phenobarbital, a seizure medication that can also be used as a sedative, Joseph died.

In the months leading up to his father's death, Quill's family experienced several improvements in end-of-life care from what he witnessed in 1991:

Greater availability of palliative care, to keep the patient as comfortable as possible while simultaneously treating the underlying disease. While his father initially wanted any treatment that might help him live longer, Quill says, his father also wanted to maintain a high quality of life as long as possible. His father initially consented to a do-not-resuscitate (DNR) order, but wanted all other treatments that would help him live longer and better. "Fourteen years ago, palliative care really was just barely on the radar screen," says Quill. "Now it's really been thought through and is much more available."

As time went on and several treatments failed, it became clear that Joseph Quill was only getting sicker and sicker
'"/>

Contact: Tom Rickey
trickey@admin.rochester.edu
585-275-7954
University of Rochester Medical Center
12-May-2004


Page: 1 2 3

Related medicine news :

1. New study in Nature demonstrates protection against cell death during heart attack
2. Mouse model reveals potential way to reduce cardiac deaths in kidney patients
3. New estimates for the causes of child deaths worldwide
4. Cardiac deaths peak in sleep hours for patients with sleep apnea
5. Sudan surveys show high rates of death and malnutrition among displaced population
6. Risk of cardiac death after radiotherapy for breast cancer has declined, study finds
7. Study shows risk of cardiac death after radiation for breast cancer has dramatically decreased
8. Neuronal death and processing of Tau protein in Alzheimers disease
9. New guideline tackles leading cause of mother and child death
10. Tobacco industry pays scientists to challenge secondhand smokes link to infant death risk
11. Heart surgeons publish death rates

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:9/3/2020)... ... September 03, 2020 , ... The ... the focus of Fall 2020 Virtual Conference, a two-day virtual event for radiology ... Imaging & Beyond" is the follow-up to AuntMinnie.com's successful virtual event in spring ...
(Date:9/3/2020)... ... September 03, 2020 , ... International Dark-Sky Association (IDA) ... parking lot controller. This advanced LED wireless dimming controller, along with the previously ... the night sky against light pollution. Leo Smith, the Northeast Regional Director for ...
(Date:9/1/2020)... ... September 01, 2020 , ... KitoTech Medical, ... convertible note financing, which will be used to accelerate the commercialization of its ... financing, the company will continue to expand its customer base of healthcare systems ...
(Date:9/1/2020)... ... September 01, 2020 , ... Dr. Kiran Gill is ... surgery of the face, breast, and body. In 2018, she founded Aesthetics in ... surgery and aesthetic practice in Southwest Florida. Dr. Gill and her team offer ...
(Date:8/31/2020)... ... ... your dear friend has cancer? , It’s hard to hear your doctor say the words ... the shock wears off, the questions and fears can be overwhelming. , How should I ... Words are failing me. I’m scared. I want to DO something. , We’ve talked to ...
Breaking Medicine News(10 mins):
(Date:8/28/2020)... ... 28, 2020 , ... Cano Health, LLC, a leading population ... San Antonio is happy to announce that it has selected Tejano musician Jay ... he will serve as community advisor, advertising talent, and creative consultant for Cano ...
(Date:8/27/2020)... ... August 27, 2020 , ... The flu season is right round the corner and the ... with all the necessary measures before it begins to harbor its effects on us. Already ... is leaving a huge impact on our lives. Hence it has become even more relevant ...
(Date:8/26/2020)... ... 26, 2020 , ... ScripHessco has announced the release of ... down ways that chiropractors can help heal sports injuries and get athletes on ... an unusual amount of pressure and stress on their bodies, so checkups to ...
Breaking Medicine Technology:
Cached News: