What Difference Does It Really Make To Talk About Dying Earlier?

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What Difference Does It Really Make To Talk About Dying Earlier?
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For years, we've heard of the importance of talking about end-of-life wishes well in advance. It can certainly help with mental distress — but may not make much of a difference in our medical care, a new study suggests.

The study found there were reductions in anxiety and depression. How long did that last?

We're actually implementing this study in an ongoing way at several hospitals here in Boston, at hundreds of hospitals across the United States, and also internationally. From the patients' point of view, patients are often kind of ambivalent about getting the information. They know what they want, but they're scared of what they're going to hear. They want to protect their family members. They want to protect themselves. So there's a lot of intense anxiety for both the clinician and the patient.

We think that is definitely the wrong time to start these conversations. So we really try to help them happen with the clinicians who really know them, and to have it when the patients aren't in crisis. If you think about having the conversation, you should probably have the conversation, if you're a clinician.

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