Avoiding the least effort to facilitate recovery when all treatments fail to prevent worsening patient suffering: the case for establishing manutenery

Abstract

After 16 years of painstaking investigation, we finally describe the perception- and activity-independent measure of the practically removable root cause of the worsening patient suffering that all known treatment are powerless against at those times when we are assumed to be terminally ill or at the end of our lives and palliation appears to be all that healthcare can offer. Furthermore, we demonstrated our readiness to return to the clinic to use the method by which we arrived at this description for the individualized investigation that will confer the capacity to eliminate this root cause, which has long been shown by our results to be “the least effort,” in patients who, regardless of how young they may be, are in need of the "escape" from such suffering that distinguishes the Dutch supercentenarian, Mrs. Hendrijke van Andel-Schipper, despite her premature birth, very low birthweight and malignant tumor.