Symptoms, Signs, Problems, and Diseases of Terminally Ill Nursing Home Patients

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Abstract
The number of people living to an old age in Western countries is rapidly increasing. Consequently, the pattern of diseases that cause the most morbidity and mortality is also changing.1 In the near future, the nursing home (NH) will increasingly be the site of terminal care and the place of death for many elderly people and people with dementia.2-5 Before death, NH patients enter a terminal phase in which optimal palliative care should be provided. Traditionally, palliative care has focused on patients with cancer, but this type of care is needed for a much wider range of terminal illnesses and should be integrated more broadly across the health care services, as was recently stated by the World Health Organization.1

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