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American Journal of Hospice and Palliative Medicine®
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A Poor Prognosis: Guide or Misleading?

Jan W. Wijnia, MD

Nursing Home and Geriatric Centre Antonius Binnenweg, Rotterdam, The Netherlands, j.wijnia{at}zorggroeprijnmond.nl, Nursing Home Slingedael, Centre for Korsakov and Psychogeriatry, Rotterdam, The Netherlands

Inno J. P. M. Corstiaensen, MD

Nursing Home and Geriatric Centre Antonius Binnenweg, Rotterdam, The Netherlands

Patients admitted to a palliative care unit have a limited life expectancy. Sometimes, however, the accuracy of the prognosis is compromised by atypical progress of a disease or incorrect assumptions. If a predicted short life expectancy proves to be longer, the increased need of care may result in chronic admission and in a significantly reduced quality of life. A given poor prognosis may be mistakenly adhered to and might lead to insufficient diagnostic procedures or treatment. However, palliative care requires a patient-oriented and active approach. To be aware of possible incomplete diagnostics is an important step in preventing adverse consequences of a wrong prognosis.

Key Words: palliative care • end-of-life care • prognosis • assessment • nursing home

This version was published on March 1, 2008

American Journal of Hospice and Palliative Medicine®, Vol. 25, No. 1, 5-8 (2008)
DOI: 10.1177/1049909107307379
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