Contributors

Introduction

R. Sean Morrison

Diane E. Meier

Part I Overview: The Social and Cultural Context of Old Age and Frailty

Variability in End-of-Life Care in the United States

John E. Wennberg

Megan McAndrew Cooper

Susan W. Tolle

Developmental Challenges and Opportunities for ``Growth'': The Inner Life at the End of Life

Robert N. Butler

Assessing Quality of Life and Quality of Dying in the Elderly: Implications for Clinical Practice of Palliative Medicine

J. Randall Curtis

Donald L. Patrick

The Place of Love in the Care of Persons with Advanced Dementia

Stephen G. Post

Artificial Nutrition and Hydration

Colleen Christmas

Tom Finucane

Age, Rationing, and Palliative Care

Daniel Callahan

Eva Topinkova

Ethical Aspects of Geriatric Palliative Care

Linda Emanuel

Madelyn A. Iris

James R. Webster

Respecting Diversity

Marion Danis

Risa Lavizzo-Mourey

Part II Disease- and Syndrome-Specific Aspects of Palliative Care

Frailty and Its Implications for Care

Jeremy D. Walston

Linda P. Fried

Heart Disease

Julia M. Addington-Hall

Angie Rogers

Anne McCoy

J. Simon R. Gibbs

Cancer

Natalie R. Sacks

Janet L. Abrahm

Stroke: Prognosis, Treatment, and Rehabilitation

Steven R. Flanagan

Stanley Tuhrim

Dementia and Neurodegenerative Diseases

Ellen Olson

Chronic Lung Disease and Lung Cancer

John P. Krcmarik

Thomas J. Prendergast

E. Wesley Ely

James R. Runo

End-Stage Renal Disease and Discontinuation of Dialysis

Lewis M. Cohen

Michael J. Germain

Maura J. Brennan

Part III Symptom Distress in Older Patients

Pain

Bruce A. Ferrell

J. Elizabeth Whiteman

Dyspnea

Cynthia X. Pan

Gastrointestinal Symptoms

Nigel P. Sykes

Fatigue

Deborah Witt Sherman

Marianne LaPorte Matzo

Delirium, Anxiety, and Depression

Elizabeth Goy

Linda Ganzini

Part IV Communication

Advance Care Planning for Frail, Older Persons

Joan M. Teno

Doctor-Patient Communication

James A. Tulsky

Decision Making for the Cognitively Impaired

Timothy E. Quill

Robert McCann

Part V Structures of Care for the Chronically Ill with Palliative Care Needs

Can We Make the Health-Care System Work?

Janice Lynch Schuster

Sarah Myers

Susan K. Rogers

Susan C. Emmer

Joanne Lynn

Palliative Care in the Nursing Home

John M. Carter

Eileen Chichin

Family Caregivers: Burdens and Opportunities

Carol Levine

Home Care for Frail, Older Adults

Knight Steel

Caroline Vitale

Hospital-Based Palliative Care

Daniel Fischberg

Diane E. Meier

Index