{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T10:27:06Z","timestamp":1793701626922,"version":"4.5.1"},"reference-count":9,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/tdm\/tdmrep-policy.json"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The setting in which patients face the end of life (EOL) is shaped by complex, individualized needs beyond physical care. Mr.\u00a0X, a man in his mid-50s with glioblastoma, endured treatment complications and progressive decline. Supportive care was engaged to manage symptoms and support his wife, Mrs.\u00a0X, who was simultaneously the family\u2019s financial provider and caregiver for both her husband and their autistic adult son. As his condition worsened, she resisted hospice and code status changes, citing emotional, logistical, and financial barriers, while fiercely advocating for his wish to die in the hospital. Counseling and empathic validation helped her share her burdens and reframe her advocacy as rooted in love and grief. She ultimately consented to comfort-focused care, and Mr.\u00a0X died peacefully in the hospital after a 31-day stay. This case underscores the need to integrate psychosocial factors into individualized EOL planning and to strengthen person-centered care.<\/jats:p>","DOI":"10.1017\/s1478951525101351","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T10:51:32Z","timestamp":1765536692000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["\u201cHe needs to die in the hospital\u201d: A caregiver\u2019s distress call"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4308-0883","authenticated-orcid":false,"given":"Monica T.","family":"Agosta","sequence":"first","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juleen","family":"Min","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imelda","family":"Pangemanan","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujin","family":"Ann-Yi","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Bruera","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"S1478951525101351_ref9","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2112297"},{"key":"S1478951525101351_ref2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0093762"},{"key":"S1478951525101351_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2020.1043"},{"key":"S1478951525101351_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216308092287"},{"key":"S1478951525101351_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.19.2476"},{"key":"S1478951525101351_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3260-9"},{"key":"S1478951525101351_ref7","article-title":"Preference and actual place-of-death in advanced cancer: prospective longitudinal study","author":"Valentino","year":"2023","journal-title":"BMJ Support Palliat Care"},{"key":"S1478951525101351_ref4","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1177\/10499091211048767","article-title":"Symptom prevalence and place of death preference in advanced cancer patients: factors associated with the achievement of home death","volume":"39","author":"Jfv","year":"2022","journal-title":"American Journal of Hospice and Palliative Care"},{"key":"S1478951525101351_ref8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2019-002019"}],"updated-by":[{"DOI":"10.1017\/s1478951526102958","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000}}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525101351","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525101351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T09:40:29Z","timestamp":1793698829000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525101351\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,12]]},"references-count":9,"alternative-id":["S1478951525101351"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525101351","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,12]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e215"}}