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The only true FREE CLASSIFIEDS in the Antelope Valley... Where buyers and sellers meet!
10% off on Smog test only Must present this coupon 505 W. Ave. J • Lancaster (661)945-9193 (661)948-2366
RoyAl cAR WASh Full Service Wash Regular: $8.99 Mon-Thurs Exterior Wash: $6.99 Mon- Thurs $2off on Works Royal TLC 2603 E. Palmdale Bl. • Palmdale (661)265-9936
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Handwashing & Detailing Available Open 7 Days Family Owned & Operated Since 1976 1120 W. Ave I • Lancaster (661) 948-3783
AVeNUe I cheVRoN
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BOOk & PERiOdiCAlS
2 matching Magazine/Phonebook metal racks for in or outside store $15ea or $25 for both • 272-
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el colIBRI ReSTAURANT Best El Salvadorean Food “Especial Pupusas $1.25. Eat in or Take out” Close on Wednesdays 8018 Peablossom Hwy Littlerock 661-944-5361
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What's Worse Than Death? These 6 Conditions, JAMA Study Suggests
Seriously ill patients said that living with certain conditions may be worse than death, according to a study published in JAMA Internal Medicine—but the report authors warn that "patients may underestimate their abilities to adapt to certain health states."
University of Pennsylvania researchers surveyed 180 severely ill patients age 60 and older who were admitted to a Pennsylvania hospi- tal and had condi- tions ranging from advanced heart failure to malignant cancer.
respondents; • Inability to get out of
bed, cited by about 70 percent of respondents;
patients at one hospital.
In addition, they said that, since none of the patients had experienced any of the limitations desscribed, they may have overestimated the conditions' difficulty. According to New York Magazine, some studies have supported that
by a few days.
The authors of the new JAMA Internal Medicine study wrote, "Patients may underesti- mate their abili- ties to adapt to certain health states, such that once-feared states become more tolerable once they are experienced" (Foley, Quartz, 8/2; Dahl, "Science of Us," New York Magazine, 8/3; Miller,
LiveScience, 8/1; Rubin et al., JAMA Internal Medicine, 8/1).
• Being confused all the time, cited by about 60 percent of respondents;
Researchers asked patients to rank end-of- life limitations, such as needing full-time care and suffering constant pain, as being better than, worse than, or the same as death. The sur- clock care, cited by more view, suggesting that pared to traditional care
• Reliance on a feeding tube, cited by about 55 percent of respondents; and
Expanding the scope of end-of-life care Research has demon- strated that hospice saves Medicare between $2,300 and $10,800 per enrolled beneficiary com-
• Needing around-the-
veyed patients had not experienced any of the limitations.
Findings The survey found that a majority of respondents considered six conditions as bad as or worse than death:
• Bowel and bladder incontinence, cited by about 70 percent as equally as bad as or worse than death;
• Reliance on a breath- ing machine, cited by about 70 percent of
than 50 percent of respondents.
But the survey also found that a vast majority of respondents said that needing to be at home all day, being in moder- ate pain all the time, or needing to be in a wheelchair would not be preferable to death.
Survey limitations The study authors said that more research is needed, as they sampled only a small number of
people are often bad at predicting how they'll feel in the future.
For example, a 2004 study of health people found that most said they would rather not have medical interventions to prolong a low-quality life. However, dying people who were experiencing low quality of life almost unanimously told researchers they would use any available med- ical interventions to pro- long their life, even if just
at the end of life. Moreover, patients and families participating in hospice report better medical and social out- comes, particularly for pain and symptom man- agement.
Read our white paper to understand the benefits of concurrent care, iden- tify key considerations for developing concur- rent care services, and learn about models that peer institutions have adopted.
ANTELOPE VALLEY FREE CLASSIFIEDS
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