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The remarkable growth of palliative care in the United States in the last 25 years has been fueled by the expansion of Medicare to include a hospice benefit. Medicare provides health insurance for qualified elderly individuals and Medicaid covers the poor. Hospice benefits are the same for both Medicare and Medicaid. Over one million elderly Americans make(More)
We consider a form of state-dependent drift condition for a general Markov chain, whereby the chain subsampled at some deterministic time satisfies a geometric Foster-Lyapunov condition. We present sufficient criteria for such a drift condition to exist, and use these to partially answer a question posed in [1] concerning the existence of so-called 'tame'(More)
Using the repository of 2005 Family Evaluation of Hospice Care data, this study examined whether bereaved family members report higher quality of care when hospices care for greater vs. lesser proportions of dementia patients. This organization-level analysis included 396 hospices meeting the study's eligibility criteria. Using hospice percentages of the(More)
This research examined effects of psychosocial intervention on denial-related coping ability in terminally ill cancer patients. Most patients considered deniers were seen using interpersonal denial in the service of preserving relationships important to them. Denial use as a result of intrapsychic impoverishment was seen infrequently. Twenty-four patients(More)
Foreword Palliative care assists increasing numbers of people with chronic, debilitating, and life-limiting illnesses. A growing number of programs provide this care in a variety of settings: hospitals, outpatient settings, community programs within home health organizations, and hospices. Within these settings are dedicated teams of physicians, nurses,(More)
There is a widespread belief by some health care providers and the wider community that medications used to alleviate symptoms may hasten death in hospice patients. Conversely, there is a clinical impression among hospice providers that hospice might extend some patients' lives. We studied the difference of survival periods of terminally ill patients(More)
Dementia is a leading cause of death in the USA. Although guidelines exist to determine hospice eligibility for dementia, only a small percentage of patients dying with this condition receive hospice care. Hospice recipients with dementia have not been well characterized, and little is known about the quality of care they receive. The Family Evaluation of(More)