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Clinical Resources:


  1. Palliative Care Best Practices: A Guide for Long-Term Care and Hospice, Center for Improving Value in Health Care, CIVHC, 2012,

  2. Hospice fact sheet for physicians and advanced practitioners who practice in nursing homes. Leadership Council on Long-term Care of the Institute to Enhance Palliative Care, University of Pittsburgh.


  1. Hospice. Caring Connections website. National Hospice and Palliative Care Organization.

  2. Qaseem A, Snow V, Shekelle P, et al: Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: A clinical practice guideline from the American College of Physicians. Ann Intern Med 2008;148(2):141-146.

  3. Shrank WH, Polinski JM, Avorn J: Quality indicators for medication use in vulnerable elders. J Am Geriatr Soc 2007;55(suppl 2):S373-S382.;jsessionid=EC47233AA7359BEBF320EB6F921E67B7?doi=

  4. NIH State-of-the-Science Statement on symptom management in cancer: Pain, depression, and fatigue. NIH Consens State Sci Statements 2002;19(4):1-29.

  5. Tunzi M: Can the patient decide? Evaluating patient capacity in practice. Am Fam Physician 2001;64(2):299-306.

  6. Wiffen PJ, Wee B, Moore RA: Oral morphine for cancer pain. Cochrane Database Syst Rev 2013;(7):CD003868.

  7. Centers for Medicare and Medicaid Services: Medicare Benefit Policy Manual. US Dept of Health and Human Services, pub 100-02, chap 9.

  8. Clary PL, Lawson P: Pharmacologic pearls for end-of-life care. Am Fam Physician 2009;79(12):1059-1065.

  9. Sessums LL, Zembrzuska H, Jackson JL: Does this patient have medical decision-making capacity? JAMA 2011;306(4):420-427.

  10. American Academy of Hospice and Palliative Medicine: Five things physicians and patients should question. ABIM Foundation Choosing Wisely Campaign, 2013.


  1. American Geriatrics Society Ethics Committee and Clinical Practice and Models of Care Committee: American Geriatrics Society feeding tubes in advanced dementia position statement. J Am Geriatr Soc 2014;62(8):1590-1593.

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