INTEGRATION OF PALLIATIVE CARE INTO EMERGENCY MEDICINE: THE IMPROVING PALLIATIVE CARE IN EMERGENCY MEDICINE (IPAL-EM) COLLABORATION

被引：64

作者：

Lamba, Sangeeta ^{[1
]}

DeSandre, Paul L. ^{[2
,3
]}

Todd, Knox H. ^{[4
]}

Bryant, Eric N. ^{[5
]}

Chan, Garrett K. ^{[6
,7
,8
]}

Grudzen, Corita R. ^{[9
]}

Weissman, David E. ^{[10
]}

Quest, Tammie E. ^{[2
,3
]}

机构：

[1] Rutgers New Jersey Med Sch, Dept Emergency Med, Newark, NJ 07103 USA

[2] Dept Vet Affairs, Atlanta, GA USA

[3] Emory Univ, Sch Med, Dept Emergency Med, Atlanta, GA USA

[4] Univ Texas MD Anderson Canc Ctr, Dept Emergency Med, Houston, TX 77030 USA

[5] San Diego Hosp, Inst Palliat Med, San Diego, CA USA

[6] Univ Calif San Francisco, Dept Physiol Nursing, San Francisco, CA USA

[7] Stanford Hosp & Clin, Emergency Dept, Clin Decis Unit, Stanford, CA USA

[8] Stanford Hosp & Clin, Palliat Care Serv, Stanford, CA USA

[9] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Med, Dept Emergency Med, New York, NY USA

[10] Med Coll Wisconsin, Palliat Care Ctr, Milwaukee, WI 53226 USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2014年 / 46卷 / 02期

关键词：

emergency department; emergency medicine; palliative care; collaboration; integration; DEPARTMENT VISITS; QUALITY; PROJECT; ILL;

D O I：

10.1016/j.jemermed.2013.08.087

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Emergency department (ED) providers commonly care for seriously ill patients who suffer from advanced, chronic, life-limiting illnesses in addition to those that are acutely ill or injured. Both the chronically ill and those who present in extremis may benefit from application of palliative care principles. Case Report: We present a case highlighting the opportunities and need for better integration of emergency medicine and palliative care. Discussion: We offer practical guidelines to the ED faculty/administrators who seek to enhance the quality of patient care in their own unique ED setting by starting an initiative that better integrates palliative principles into daily practice. Specifically, we outline four things to do to jumpstart this collaborative effort. Conclusion: The Improving Palliative Care in Emergency Medicine project sponsored by the Center to Advance Palliative Care is a resource that assists ED health care providers with the pro-cess and structure needed to integrate palliative care into the ED setting. (C) 2014 Elsevier Inc.

引用

页码：264 / 270

页数：7

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