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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Potential underlying meaning of "everything" in patients with an advanced serious illness who request that "everything be done"

Potential underlying meaning of "everything" in patients with an advanced serious illness who request that "everything be done"
Domain Concept What "everything" might mean Questions to ask
Affective Abandonment "Don't give up on me." "What worries you the most?"
Fear "Keep trying for me." "What are you most afraid of?"
Anxiety "I don't want to leave my family." "What does your doctor say about your prospects?"
Depression "I'm scared of dying." "What is the hardest part for you?"
"I would feel like I'm giving up." "What are you hoping for?"
Cognitive Incomplete understanding "I do not really understand how sick I am." "What are your most important goals?"
Wanting reassurance that best medical care has been given "Do everything you think as a doctor is worthwhile." "What is your understanding of your condition/prognosis?"
Wanting reassurance that all possible life-prolonging treatment is given

"Don't leave any stone unturned."

"I really want every possible treatment that has a chance of helping me live longer."

"I will go through anything, regardless of how hard it is."

"What have others told you about what is going on with your illness?"

"What have they said the impact of these treatments would be?

"Tell me more about what you mean by 'everything.'"
Spiritual Vitalism "I value every moment of life, regardless of the pain and suffering (which has important meaning for me)." "Does your religion (faith) provide any guidance in these matters?"
Faith in God's will "I will leave my fate in God's hands; I am hoping for a miracle; only He can decide when it is time to stop." "How might we know when God thinks it is your time?"
Family Differing perceptions "I cannot bear the thought of leaving my children (wife/husband)." "How is your family handling this?"
Family conflict "My husband will never let me go." "What do your children know?"
Children or dependents

"My family is only after my money."

"I don't want to bother my children with all this."

"Have you made plans for your children (other dependents)?"

"Have you discussed who will make decisions for you if you cannot?"

"Have you completed a will?"
From Annals of Internal Medicine, Quill TE, Arnold R, Back AL, Discussing treatment preferences with patients who want "everything," 151, 345. Copyright © 2009 American College of Physicians. All Rights Reserved. Reprinted with the permission of American College of Physicians, Inc.
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