Abstract

It is not unusual for patients to come into the hospital with a long-term illness or an abrupt life altering event and are at the end of life (EOL). When a life altering event occurs or if there is a sudden or drastic decline in an acute or chronic illness, these patients will be admitted or transferred to an intensive care unit (ICU). Of these patients 20% will die, most often due to advanced age or progression of an acute or chronic illness [1,2].

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