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Updated: May 26, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
Prelude to death or practice failure? Trombley-Brennan terminal tissue injuries
Kathy Trombley1, Mary R Brennan, Lily Thomas
1North Shore University Hospital, Manhasset, NY 11030, USA.
Abstract:
A group of palliative care nurses wanted to investigate the phenomenon they were witnessing in their end-of-life patients. There was a rapid onset of skin change characterized by bruising on various parts of the body in these patients. Traditionally they were described as pressure ulcers. However, the skin changes did not progress as typical pressure ulcers and warranted more investigation.
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