Columba Thomas

Jun 5, 2024 | agsjournals.onlinelibrary.wiley.com | Columba Thomas |Eduardo Bruera |William Breitbart |Yesne Alici

The care of older persons at the end of life often involves competing concerns and highly value-sensitive decisions. In a recent article, we proposed a set of ethical rules—the canons of therapy—to help clinicians navigate complex cases involving older adults with delirium at the end of life.1 The canons of therapy most pertinent to such cases are restoration, means-end proportionality, discretion, and parsimony (see Table 1 for a description).

Jan 19, 2024 | agsjournals.onlinelibrary.wiley.com | Columba Thomas |Yesne Alici |William Breitbart |Eduardo Bruera

CONFLICT OF INTEREST STATEMENT None of the authors have any conflicts of interest to declare. REFERENCES 1, . Agitation and delirium at the end of life: “we couldn't manage him.”. JAMA. 2008; 24: 2898-2910. 2, . Delirium in Palliative Care. Cancers (Basel). 2021; 13(23):1-11. doi:10.3390/cancers13235893 3, , , et al. Occurrence, causes, and outcome of delirium in patients with advanced cancer: a prospective study. Arch Intern Med. 2000; 6: 786-794. 4, , .