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Dying Trajectory

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Dying Trajectory
Source 1:

Doyle D, Hanks G, Cherny N, et al. Introduction. In: Doyle D, ed. Oxford Textbook of Medicine, 2nd ed. New York: Historical Perspective: What Has Changed? Oxford University Press, pp 1-5.

Direct Quote:

“The medical profession has created Chronic Disease! In the past, life expectancy was low and death rates were high. The “Dying Trajectory” was short. That is, we were relatively healthy until we got sick-then we died, mostly from infectious diseases. People did not live long enough to die from chronic diseases.”
(Doyle D, 1998, p 10)

Paraphrase:

Current modern day medicine has created “death” from chronic diseases. By finding ways to cure premature death, dying now takes much longer. The results have tremendous physical, social and economic implications.
(Doyle D, 1998, p 10)

Summary:

Overtime, life and death
…show more content…
Kim BS, Derjung M. Tarn MD, PHD (2016). Effect of Primary Care Involvement on
End-of-Life Outcomes: A systemic Review. Journal of the American Geriatrics Society. doi:10.1111/jgs.14315/full M8D1

Direct Quote:

“Approximately one-quarter of all Medicare spending occurs during the final year of life.
Families and individuals at the end of life also confront substantial financial strain as their out-of-pocket expenditures rise along with their increasing medical needs. In addition, there is a gap between potential treatments available and the care that people prefer to receive near the end of life. Many seriously ill individuals prefer supportive care but often receive care that is inconsistent with their preference. Furthermore, studies have shown that most people prefer to die at home but fewer than one-third achieve this goal.”
(Sion L. Kim BS, Derjung M. Tarn MD, PHD, 2016)

Paraphrase:

Medicare spending and financial constraints for dying patients and their families, may result in delayed treatments along with unfulfilled end-of-life expectations for the patient.
(Sion L. Kim BS, Derjung M. Tarn MD, PHD, 2016)

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