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Chapter 19 - Wellness in Terminal Illness

from Part III - Special Populations and Special Topics

Published online by Cambridge University Press:  18 September 2020

By
Monika Chaudhry ,
Alex Gordon ,
Emile Tadros ,
Carrian Sun ,
Gabriel Tobia  and
Waguih William IsHak
Edited by
Waguih William IsHak
Waguih William IsHak
Affiliation:
Cedars-Sinai Medical Center and David Geffen School of Medicine, University of California Los Angeles (UCLA)
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Summary

In 2014, 2.6 million people died in the USA. Death is inevitable and can find someone in any number of ways, and most hope for a good death [1]. Terminal illness is an irreversible or incurable disease condition from which death is expected in the foreseeable future. Some often regulate this to a prognosis of the last 6–12 months of life; however, some live longer with a terminal illness in palliative or hospice care. Even with a terminal illness, many patients continue to receive treatment to reduce symptom burden, continue to keep fighting with experimental procedures (sometimes to give purpose), at times not to disappoint family members, and at other times it is part of their values [2]. The transition from a chronic illness to a terminal illness can be devastating for some patients, and navigating this change requires a significant amount of work from both the practitioner and the patient for a good quality of life [3].

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The Handbook of Wellness Medicine , pp. 237 - 247
Publisher: Cambridge University Press
Print publication year: 2020

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