“There’s always hope”.
This is a statement I have used many times when discussing the care of a patient with a terminal illness, but I have to admit it always felt a bit pablum. I think it ends up being short hand for “none of us are ready to accept reality so here we are”. A few years ago I stopped saying that when I believe a patient is terminally ill. Instead I state that the patient has reached the end of his or her life, and its time to plan for that.
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