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General Processes 

General Processes
Chapter:
General Processes
Author(s):

Perry G. Fine

and Matthew Kestenbaum

DOI:
10.1093/med/9780190456900.003.0001
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date: 26 May 2020

This chapter discusses how to maximize the quality of life for dying patients. It illustrates the overall schema that the book follows, which emphasizes how an organized structure is useful to define the mechanics and fundamentals of hospice care and the overall goal of making high-quality interdisciplinary care during the last phase of life the standard. Therefore, the full range of evaluation, assessment, and interventions proposed may need to be changed to home in on the patient’s and family’s highest priorities to meet their most pressing needs before death. At admission, the likely longevity of the patient (i.e., prognosis) needs to be well considered so that the issues and goals elaborated in this guide might be realistically tailored to each patient’s needs and attainable goals. The most productive and “patient-centric” place to start, maintain, and deepen a trust-based relationship is with the question, “What matters most?”

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