RT Book, Section
A1 Brooten, Justin K.
A2 Tintinalli, Judith E.
A2 Ma, O. John
A2 Yealy, Donald M.
A2 Meckler, Garth D.
A2 Stapczynski, J. Stephan
A2 Cline, David M.
A2 Thomas, Stephen H.
SR Print(0)
ID 1167032001
T1 Palliative Care
T2 Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260019933
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1167032001
RD 2024/04/16
AB The  goal  of  palliative  care  is  to  relieve  the  suffering  of  patients  with  serious  illness.  Regardless  of  the  patient’s  prognosis,  relief  of  suffering  should  be  a  primary  goal  for  both  emergency  medicine  and  palliative  care.1Palliative  care  is  defined  by  specialty  advocates  as  the  physical,  spiritual,  and  psychosocial  care  given  by  multiple  disciplines  to  patients  and  their  families  who  are  living  with  life-threatening  illness.2  Although  these  principles  are  applicable  to  all  stages  of  a  patient’s  illness,  a  palliative  care  consultation  from  the  ED  is  generally  considered  in  the  context  of  previously  predicted  end-of-life  care.  Hospice  care,  a  branch  of  palliative  care,  is  a  comprehensive  program  of  palliative  treatment  that  is  appropriate  when  patients  with  chronic,  progressive,  and  eventually  fatal  illness  are  determined  to  have  a  life  expectancy  of  6  months  or  less.  Palliative  care  is  patient  centered  rather  than  disease  centered.  It  strives  to  ensure  that  the  patient  or  his  or  her  (formal  or  informal)  representatives  have  chosen  realistic  goals  of  care  after  the  patient’s  diagnosis,  prognosis,  and  therapeutic  options  have  been  considered.  This  discussion  and  decision  making  should  take  place  during  a  meeting  that  includes  the  patient’s  healthcare  team,  surrogate  decision  maker(s),  and  those  loved  ones  who  are  privileged  to  receive  confidential  information.