Michael A Ashby1,2, Leigh E Rich3. 1. Palliative Care Service, Royal Hobart Hospital, Tasmanian Health Service, Hobart, Australia. michael.ashby@ths.tas.gov.au. 2. School of Medicine, Faculty of Health Sciences, University of Tasmania, 1st Floor, Peacock Building, Repatriation Centre, 90 Davey Street, Hobart, TAS, 7000, Australia. michael.ashby@ths.tas.gov.au. 3. Department of Health Sciences (Health Services Administration), Armstrong State University, 11935 Abercorn Street, University Hall 154F, Savannah, GA, 31419, USA.