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University of Hawaii, John A. Burns School of Medicine, Geriatric Medicine Program, 347 N. Kuakini St., HPM-9, Honolulu, HI 96817, USA. lekenik@aol.com
The majority of Americans die in hospitals and nursing homes. There is substantial evidence in the medical literature, that care of the dying in such settings is often poor, and the obstacles to providing good end-of-life care remain numerous. Palliative care consultation has the potential to improve the care of patients dying in the institutional setting.
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