Section 1 Overview: The Social & Cultural Context of Old Age & Frailty 1: John E. Wennberg, MD, MPH, and Susan W. Tolle, MD: Variability in End-of-Life Care in the United States 2: Robert N. Butler: Developmental Challenges and Opportunities for "Growth": The Inner Life at the End of Life 3: J. Randall Curtis, MD, MPH, and Donald L. Patrick, PhD, MSPH: Assessing Quality of Life and Quality of Dying in the Elderly: Implications for Clinical Practice of Palliative Medicine 4: Stephen G. Post: The Place of Love in the Care of Persons with Advanced Dementia 5: Colleen Christmas, MD and Tom Finucane, MD: Artificial Nutrition and Hydration 6: Daniel Callahan, PhD, and Eva Topinkova, MD, PhD: Age, Rationing, and Palliative Care 7: Linda Emanuel, MD, PhD, Madelyn A. Iris, PhD, and James R. Webster, MS, MD: Ethical Aspects of Geriatric Palliative Care 8: Marion Danis, MD, and Risa Lavizzo-Mourey, MD: Respecting Diversity in Geriatric Palliative Care Disease and Syndrome-Specific Aspects of Palliative Care 9: Jeremy D. Walston, MD, and Linda P. Fried, MD, MPH: Frailty and its Implication for Care 10: Julia M. Addington-Hall, PhD, honMFPHM, Angie Rogers, MSc, Anne McCoy, MSc, J. Simon R. Gibbs, MD, FRCP: Heart Disease 11: Natalie R. Sacks, MD, and Janet L. Abrahm, MD: Cancer 12: Steven R. Flanagan, MD and Stanley Tuhrim, MD: Stroke: Prognosis, Treatment, and Rehabilitation 13: Ellen Olson, MD: Dementia and Neuro-Degenerative Diseases 14: John P. Kremarik, MD, Thomas J. Predergast, MD, E. Wesley Ely, MD, and James R. Runo, MD: Chronic Lung Disease and Lung Cancer 15: Lewis M. Cohen, MD, Michael Germain, MD, and Maura Brennan, MD: End Stage Renal Disease and Discontinuation of Dialysis Symtom Distress in Older Patients 16: Bruce A. Ferrell, MD and Elizabeth Whiteman, MD: Pain 17: Cynthia X. Pan, MD: Dyspnea 18: Nigel P. Sykes, MA, BM, BCh, FRCGP: Gastrointestinal Syptoms 19: Deborah Witt Sherman, PhD, RN, ANP, CS and Marianne LaPorte Matzo, PhD, RN, GNP, CS: Fatigue 20: Elizabeth Goy, PhD, and Linda Ganzini, MD: Delirium, Anxiety, and Depression Communication 21: Joan M. Teno, MD, MS: Advance Care Planning for Frail, Older Persons 22: James A. Tulsky, MD: Doctor-Patient Communication 23: Timothy E. Quill, MD and Robert McCann, MD: Decision-Making for the Cognitively Impaired Structures of Care for the Chronically Ill with Palliative Care Needs 24: Janice Lynch, MFA, Sarah Myers, MPH, Susan K. Rogers, MS, BSN,CHPN, Susan Emmer, Esq., and Joanne Lynn, MD: Can We Make the Health-Care System Work? 25: John M. Carter, MD and Eileen Chichin, PhD: Palliative Care in the Nursing Home 26: Carol Levine, MA: Family Caregivers: Burdens and Opportunities 27: Knight Steel, MD and Caroline Vitale, MD: Home Care for Frail Older Adults 28: Daniel Fischberg, MD and Diane Meier, MD: Hospital-Based Palliative Care