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  • Introduction
  • 1. Advance Care Planning
  • 2. Communicating Bad News
  • 3. Whole Patient Assessment
  • 4. Pain Management
  • 5. Assisted Suicide Debate
  • 6. Anxiety, Delirium
  • 7. Goals of Care
  • 8. Sudden Illness
  • 9. Medical Futility
  • 10. Common Symptoms
  • 11. Withholding Treatment
  • 12. Last Hours of Living
  • 13. Cultural Issues
  • 14. Religion, Spirituality
  • 15. Legal Issues
  • 16. Social and Psychological
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    Back to Module 6: Anxiety, Delirium, Depression
    Why is the Assessment and Treatment Important?

    Why is the Assessment and Treatment of Anxiety, Delirium, and Depression Important?

    • Anxiety, confusion (part of delirium), and depression are 3 common and serious symptoms that occur in patients nearing the end of their lives
      • Their symptoms may cause intense mental, emotional, and physical suffering in patients facing the end of their lives

      • Anxiety, delirium, and depression may also cause considerable disability in this population
    • All 3 are under-recognized and under-treated
      • Major depression is underdiagnosed and undertreated in 2 out of 3 patients

      • Recognition and management of both anxiety and delirium are also poor, so physicians must remain alert to the development of all of these conditions
    • As approaches to their assessment and management are widely known, all 3 symptoms can be pursued by any physician
    • Detection and appropriate treatment can make it possible for patients and families to experience the kind of personal growth that is possible and complete their life closure together