Palliative Care in the Emergency Department

被引:13
作者
McEwan, Alyssia [1 ]
Silverberg, Joshua Z. [1 ]
机构
[1] Albert Einstein Coll Med, Dept Emergency Med, 1400 Pelham Pkwy South,Bldg 6,Suite 1B-25, Bronx, NY 10461 USA
关键词
Palliative care; Geriatric; End of life; Emergency medicine; Surrogate; Communication; DECISION-MAKING; RESPIRATORY-FAILURE; PAIN; DEMENTIA; END; VENTILATION; MANAGEMENT; SYMPTOMS; SEDATION; THERAPY;
D O I
10.1016/j.emc.2016.04.013
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
As the geriatric population increases in the United States, there is an increase in number of visits to emergency departments for end-of-life and palliative care. This provides the emergency physician with a unique opportunity to alleviate and prevent further suffering in this vulnerable population. Competency in communication strategies that support shared decision making and familiarity with medicolegal terminology increase physician confidence about addressing complaints at the end of life. Familiarity with evidence-based recommendations for symptom management of pain at the end of life aids the emergency physician in creating a positive experience for the patient and their loved ones.
引用
收藏
页码:667 / +
页数:20
相关论文
共 55 条
  • [1] Guidance on the management of pain in older people
    Abdulla, Aza
    Adams, Nicola
    Bone, Margaret
    Elliott, Alison M.
    Gaffin, Jean
    Jones, Derek
    Knaggs, Roger
    Martin, Denis
    Sampson, Liz
    Schofield, Pat
    [J]. AGE AND AGEING, 2013, 42 : I1 - I57
  • [2] American Cancer Society, 2015, ADV DIR
  • [3] American College of Emergency Physicians (ACEP), DEF EM MED
  • [4] Nebulized Morphine for Intractable Cough in Advanced Cancer: Two Case Reports
    An, Ho Jung
    Kim, Il-Kyu
    Lee, Jung Eun
    Kang, Yi-Jin
    Kim, Chi Hong
    Kim, Hoon-Kyo
    [J]. JOURNAL OF PALLIATIVE MEDICINE, 2015, 18 (03) : 278 - 281
  • [5] [Anonymous], 2001, Crossing the Quality Chasm: A New Health System for the 21st Century
  • [6] [Anonymous], NAT HOSP PALL CAR OR
  • [7] [Anonymous], 2015, Definition of Palliative Care
  • [8] [Anonymous], COCHRANE DATABASE SY
  • [9] [Anonymous], 2015, 2015 ALZH DIS FACTS
  • [10] [Anonymous], 2006, A national framework and preferred practices for palliative and hospice care quality: A consensus report