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dc.contributor.authorSmall, Neil A.*
dc.contributor.authorGardiner, C.*
dc.contributor.authorBarnes, S.*
dc.contributor.authorGott, M.*
dc.contributor.authorPayne, S.*
dc.contributor.authorSeamark, D.*
dc.contributor.authorHalpin, D.*
dc.date.accessioned2017-11-03T10:36:05Z
dc.date.available2017-11-03T10:36:05Z
dc.date.issued2010-10
dc.identifier.citationSmall NA, Gardiner C, Barnes S et al (2010) Using a prediction of death in the next 12 months as a prompt for referral to palliative care acts to the detriment of patients with heart failure and chronic obstructive pulmonary disease [Letter to the editor]. Palliative Medicine. 24(7): 740–741.en_US
dc.identifier.urihttp://hdl.handle.net/10454/13642
dc.descriptionnoen_US
dc.description.abstractDear Editor In undertaking studies of palliative care in heart failure and chronic obstructive pulmonary disease (COPD) in the UK, we identified procedural, conceptual and ethical challenges that may arise from one feature of The End of Life Care Strategy for England.1 The strategy presents the question, ‘Would I be surprised if the person in front of me was to die in the next six months or one year?’ as a prompt to initiate discussion of endof-life care needs and preferences (paragraph 3.23). We believe this question is inappropriate in heart failure and COPD and its use will inhibit the initiation of a palliative care approach with these patients.en_US
dc.language.isoenen_US
dc.subjectPalliative care
dc.subjectChronic obstructive pulmonary disease (COPD)
dc.subjectHeart failure
dc.subjectPrognostication
dc.titleUsing a prediction of death in the next 12 months as a prompt for referral to palliative care acts to the detriment of patients with heart failure and chronic obstructive pulmonary diseaseen_US
dc.status.refereedn/aen_US
dc.date.application2010-10-04
dc.typeOtheren_US
dc.type.versionNo full-text in the repositoryen_US
dc.identifier.doihttps://doi.org/10.1177/0269216310375861
dc.openaccess.statusclosedAccess


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