Larry suffered from several chronic medical conditions. He experienced multiple hospital visits and a gradual decline of functioning over time before his death. This illustrates the ______________death trajectory. Choices: terminal           organ failure          chronic           terminal illness       frailty

Phlebotomy Essentials
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ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Larry suffered from several chronic medical conditions. He experienced multiple hospital visits and a gradual decline of functioning over time before his death. This illustrates the ______________death trajectory.

Choices:

terminal         

 organ failure         

chronic          

terminal illness      

frailty

Expert Solution
Step 1

Lunney et al. (2002) used clinical profiles to identify four groups of End of life trajectories, each with a different duration and shape:
1) sudden death
2) terminal illness
3)organ failure
4) frailty. 
People in the Sudden Death group went from normal function to death with minimal warning and, in many cases, little involvement with the healthcare system. 
People who died after a specific stage of terminal illness made comprised the Terminally Ill group. These people may appear to operate normally for a long time before rapidly deteriorating until death (e.g., in cancer).

People with serious and eventually fatal organ system failure, such as congestive heart failure or chronic obstructive pulmonary disease, were included in the Organ Failure category. They usually experience a slow decline, with frequent episodic acute exacerbations of their illness. While each episode has the potential to cause death, most patients only have a few episodes.

Finally, persons with Alzheimer's disease, stroke, Parkinson's disease, and other types of dementia and long-term disorders that exhibit a slow and progressive deterioration were placed in the Frailty group.

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