Lancet. 1984 Apr 28; 1(8383): 950-952.
An assessment of terminal care in hospital and home settings in the United Kingdom is achieved through an investigation of a sample of 262 deaths, excluding hospice cases. Physical and emotional problems of relatives caring for patients are reported to a greater extent than patient distress; thus, it is noted that patient-centered medicine is unlikely to provide adequate support for relatives. Community nurses report that the quality of terminal life is poor in nearly half of the cases. Relatives criticize doctors for poor symptom control, difficulty in securing information, and pointless overtreatment, and censure hospitals for an uncaring attitude. However, a substantial percentage express special gratitude to doctors and hospitals, with hospital nurses receiving the most praise. (KIE abstract)
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