14. A Good Death: Appropriate End-of-Life Care

  1. Jayna M. Holroyd-Leduc MD, FRCPC4 and
  2. Madhuri Reddy MD, MSc5
  1. Cari Levy1,2 and
  2. Jean S. Kutner3

Published Online: 25 APR 2012

DOI: 10.1002/9781118281796.ch14

Evidence-Based Geriatric Medicine: A Practical Clinical Guide

Evidence-Based Geriatric Medicine: A Practical Clinical Guide

How to Cite

Levy, C. and Kutner, J. S. (2010) A Good Death: Appropriate End-of-Life Care, in Evidence-Based Geriatric Medicine: A Practical Clinical Guide (eds J. M. Holroyd-Leduc and M. Reddy), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118281796.ch14

Editor Information

  1. 4

    Departments of Medicine and Community Health Sciences, Division of Geriatrics, University of Calgary, Calgary, AB, Canada

  2. 5

    Hebrew Senior Life, Boston, MA, USA

Author Information

  1. 1

    University of Colorado Denver School of Medicine, Denver, CO, USA

  2. 2

    Denver VA Medical Center, Denver, CO, USA

  3. 3

    University of Colorado, Denver School of Medicine, Aurora, CO, USA

Publication History

  1. Published Online: 25 APR 2012
  2. Published Print: 16 APR 2010

ISBN Information

Print ISBN: 9781444337181

Online ISBN: 9781118281796

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Keywords:

  • elderly;
  • end-of-life;
  • hospice;
  • advance care planning;
  • pain;
  • dyspnea;
  • living will;
  • opioids;
  • death;
  • mortality

Summary

This chapter introduces the notion of a “good death” by describing the characteristics valued by many older adults at the end of life. We also present evidence-based treatments of two highly prevalent symptoms: pain and dyspnea. Finally, we describe the role of advance care planning, including the barriers and facilitators of receiving end-of-life care consistent with patients' stated preferences for care.