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Here are several articles that address this subject. The authors may be a helpful resource for you.
http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=754356
http://www.ncbi.nlm.nih.gov/pubmed/16879087
Lyn Ceronsky DNP
Director, Fairview Palliative Care
Faculty, Palliative Care Leadership Center
Minneapolis MN