title: What are patients' priorities when facing the end of life? A critical review.
abstract: This critical review aimed to investigate what patients' priorities are when facing the end of life, in order to gain further understanding of this issue. Academic databases were searched using key terms, and through a method of elimination and deduction using specific inclusion/exclusion criteria, suitable research studies were found. These articles were then assessed for their quality, and specific data was extracted from the final selection using appropriate information-gathering tools. In these final four articles the methodological processes used to explore terminally ill patients' needs were generally appropriate, although there was a lack of reflexivity (researcher reflection on the experience). Useful narrative themes were produced from all four papers for further discussion. The patients had similar priorities across all four articles, which were related to understanding and accepting their changing health status, the need to hold on to some normality in life, the need to feel supported by friends and family and to know they will be taken care of after the death, and the need to have good and trusting relationships with health professionals.
authors: North Tees and Hartlepool NHS Trust, South and Central Locality Offices, Masefield Road, Hartlepool, TS25 4JY, UK. jason.black@nhs.net
authors: Jason
authors: J
authors: Black
mesh_terms: D000223:Adaptation, Psychological; D001293:Attitude to Death; D005195:Family Relations; D006801:Humans; D057240:Patient Preference; D011369:Professional-Patient Relations; D012944:Social Support; D013727:Terminal Care