Dr. Joanne Lynn, Bureau Chief for Chronic Diseases and Cancer in Community Health Administarion of the Dept. of Health for Washington, DC and international leader in improving quality of life for people at end of life, discusses the three courses illness leading to end of life:
1) people with serious illness who are doing well but then quickly deteriorate,
2) people with chronic illness with serious exacerbations,
3) slow dwindling of frailty.