1. Many critically ill people who die in hospitals still receive unwanted distressing treatments and have prolonged pain.2. Physicians may use confusing or vague medical terms and talk briefly about treatment options when the patients are too sick to participate.3. Most people want to discuss advance directives when they are healthy and often want their families involved.4. Studies show that two thirds of elderly patients have pain in the last month of life5. Although palliative/comfort care could relieve most of this pain and suffering, patients typically spend 8 days in ICU (an intensive care unit) comatose or on a ventilator and 30 percent of patients spend at least 10 days in ICU before they die

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