End of Life/Palliative Care/Ethics

被引:16
作者
Shreves, Ashley [1 ,2 ]
Marcolini, Evie [3 ,4 ,5 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Emergency Med, New York, NY 10029 USA
[2] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Med, New York, NY 10029 USA
[3] Yale Univ, Sch Med, Div Neurocrit Care, New Haven, CT 06519 USA
[4] Yale Univ, Sch Med, Dept Emergency Med, Div Emergency Neurol & Surg Crit Care, New Haven, CT 06519 USA
[5] Yale Univ, Sch Med, Dept Neurol, New Haven, CT 06519 USA
关键词
End of life care; Palliative care; Bioethics; OF-LIFE CARE; DECISION-SUPPORT TOOL; ILL CANCER-PATIENTS; PALLIATIVE CARE; TERMINALLY-ILL; EMERGENCY-DEPARTMENT; INTENSIVE-CARE; TREATMENT PREFERENCES; PARENTERAL HYDRATION; RESPIRATORY-FAILURE;
D O I
10.1016/j.emc.2014.07.010
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Palliative and end-of-life care, once the purview of oncologists and intensivists, has also become the responsibility of the emergency physician. As our population ages and medical technology enables increased longevity, it is essential that all medical professionals know how to help patients negotiate the balance between quantity and quality of life. Emergency physicians have the opportunity to educate patients and their loved ones on how to best accomplish their goals of care while also enhancing quality of life through treatment of symptoms. The emergency physician must be aware of the ethical and medico-legal parameters that govern decision making.
引用
收藏
页码:955 / +
页数:21
相关论文
共 134 条
[1]   Effect of palliative oxygen versus room air in relief of breathlessness in patients with refractory dyspnoea: a double-blind, randomised controlled trial [J].
Abernethy, Amy P. ;
McDonald, Christine F. ;
Frith, Peter A. ;
Clark, Katherine ;
Herndon, James E., II ;
Marcello, Jennifer ;
Young, Iven H. ;
Bull, Janet ;
Wilcock, Andrew ;
Booth, Sara ;
Wheeler, Jane L. ;
Tulsky, James A. ;
Crockett, Alan J. ;
Currow, David C. .
LANCET, 2010, 376 (9743) :784-793
[2]  
American College of Emergency Physicians, 2008, Ann Emerg Med, V52, P581, DOI 10.1016/j.annemergmed.2008.07.041
[3]   Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease - Can we meet the requirements of an aging population? [J].
Angus, DC ;
Kelley, MA ;
Schmitz, RJ ;
White, A ;
Popovich, J .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (21) :2762-2770
[4]   Hope, Truth, and Preparing for Death: Perspectives of Surrogate Decision Makers [J].
Apatira, Latifat ;
Boyd, Elizabeth A. ;
Malvar, Grace ;
Evans, Leah R. ;
Luce, John M. ;
Lo, Bernard ;
White, Douglas B. .
ANNALS OF INTERNAL MEDICINE, 2008, 149 (12) :861-+
[5]   ETHICS OF LIFE SUPPORT IN PATIENTS WITH SEVERE STROKE [J].
ASPLUND, K ;
BRITTON, M .
STROKE, 1989, 20 (08) :1107-1112
[6]   Palliative noninvasive ventilation in patients with acute respiratory failure [J].
Azoulay, Elie ;
Demoule, Alexandre ;
Jaber, Samir ;
Kouatchet, Achille ;
Meert, Anne-Pascale ;
Papazian, Laurent ;
Brochard, Laurent .
INTENSIVE CARE MEDICINE, 2011, 37 (08) :1250-1257
[7]   Legal Issues in End-of-life Care: Perspectives from Saudi Arabia and United States [J].
Babgi, Amani .
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2009, 26 (02) :119-127
[8]   Trajectories of End-of-Life Care in the Emergency Department [J].
Bailey, Cara ;
Murphy, Roger ;
Porock, Davina .
ANNALS OF EMERGENCY MEDICINE, 2011, 57 (04) :362-369
[9]   Why do patients with cancer visit the emergency department near the end of life? [J].
Barbera, Lisa ;
Taylor, Carole ;
Dudgeon, Deborah .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2010, 182 (06) :563-568
[10]   Palliative Emergency Medicine: Resuscitating Comfort Care? [J].
Beemath, Afzal ;
Zalenski, Robert J. .
ANNALS OF EMERGENCY MEDICINE, 2009, 54 (01) :103-105