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A Public Health Perspective on End of Life Care$
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Joachim Cohen and Luc Deliens

Print publication date: 2012

Print ISBN-13: 9780199599400

Published to Oxford Scholarship Online: May 2012

DOI: 10.1093/acprof:oso/9780199599400.001.0001

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Non-cancer patients as an under-served group

Non-cancer patients as an under-served group

Chapter:
(p.151) Chapter 12 Non-cancer patients as an under-served group
Source:
A Public Health Perspective on End of Life Care
Author(s):

Julia Addington-Hall

Katherine Hunt

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199599400.003.0066

This chapter argues that end-of-life and palliative care for those with non-malignant conditions is an area that requires innovation and future planning. With the demographic shift towards a more aged population and the forecasted increases in long-term conditions, the numbers of people following frailty and dementia illness trajectories is growing rapidly. However, one of the hardest tasks in the management of chronic disease is to understand the transition from actively seeking remission of disease to positively accepting approaching death. Until there are considerable advancements in prognostication in other conditions, it will remain a public health challenge to be able to justify end-of-life care for individual non-cancer patients.

Keywords:   end-of-life care, palliative care, aging population, frailty, dementia, chronic disease management, public health

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