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Cost of Advanced Cancer Reduced by Earlier Palliative Care

The cost of caring for patients with advanced cancer is significant, and it escalates as the disease progresses; earlier intervention with palliative care can reduce costs.  
medscape.com
almost 4 years ago
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Palliative Care in the Emergency Department: A Practical Overview of Why and How - emdocs

The role of palliative medicine in emergency care has received increasing attention since ACEP’s decision in February of 2013 to join the American Board of Internal Medicine (ABIM) Foundation’s Choosing Wisely ® initiative.1-3 In an effort to maintain (and potentially improve) quality of care while reducing costs, ACEP identified discussions regarding hospice and palliative medicine (HPM) as one of ten opportunities for ED providers and their patients to eliminate low-yield and possibly harmful testing and treatments.4 The explicit directive is “Don’t delay engaging available palliative and hospice care services in the emergency department for patients likely to benefit.” 4 A number of resources have been developed to aid ED providers with such efforts. These include the Improving Palliative Medicine in Emergency Medicine (IPAL-EM) project through the Center to Advance Palliative Care (CAPC) 5 and the Education in Palliative and End-of-life Care for Emergency Medicine (EPEC®-EM) curriculum. 6 Of note, EM residency trained physicians are eligible to complete many HPM fellowships and may subsequently obtain HPM board certification. However, gaining such a high-level of expertise is not necessary. The following discussion addresses how simple, fundamental skills in HPM can significantly enhance your practice in emergency medicine.  
emdocs.net
almost 4 years ago
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An Approach to Palliative Care in the ED - CanadiEM

Palliative care in the emergency department? Absolutely! This post outlines an approach to palliative care that can be used in the ED.  
canadiem.org
almost 4 years ago
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The Debate of Physician-Assisted Suicide: The Pros and Cons CME/CE

: Two viewpoint articles published in JAMA tackle the difficult issue of physician-assisted death by presenting 2 polarizing arguments on this sensitive topic.  
medscape.org
almost 4 years ago
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Palliative Care in Heart Failure: Manage the Person, Not the Prognosis

Heart failure care is about more than just treating the heart. Drs Mandrola and Meier discuss the importance of treating the whole person with palliative care, and its distinction from hospice care.  
medscape.com
almost 4 years ago
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BMA calls for changes to end of life care

Doctors should not pursue aggressive but non-beneficial attempts to prolong life, says a report from the BMA on end of life care and physician assisted dying.1  
feeds.bmj.com
almost 4 years ago
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BMA calls for changes to end of life care

Doctors should not pursue aggressive but non-beneficial attempts to prolong life, says a report from the BMA on end of life care and physician assisted dying.1  
feeds.bmj.com
almost 4 years ago
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Methadone in Palliative Care? This Guidance Will Aid Use

To minimize overdose risks, panel recommends adherence to multispecialty guidelines and careful use of methadone in palliative care.  
medscape.com
almost 4 years ago
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Palliative Care Is for Teens, Young Adults With Cancer Too

Palliative care for young adults and adolescents with cancer can help them cope with the challenges of serious illness during a pivotal phase of life.  
medscape.com
almost 4 years ago
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Palliative Care for Cirrhosis

How can clinicians best manage the end-of-life care needs of their patients with cirrhosis?  
medscape.com
almost 4 years ago
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6

Paying for Palliative Care

Providers of quality palliative care don't like to think about cost, but without a sound financial foundation, these programs won't ever see the light of day.  
medscape.com
almost 4 years ago
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6

American Academy of Hospice and Palliative Medicine (AAHPM) 2016 Annual Assembly

American Academy of Hospice and Palliative Medicine (AAHPM) 2016 Annual Assembly: Read clinically focused news coverage of key developments from AAHPM 2016.  
medscape.com
almost 4 years ago
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Palliative care in patients with heart failure

Despite advances in cardiac therapy, heart failure (HF) remains a progressive, highly symptomatic, and deadly disease that places great demands on patients, caregivers, and healthcare systems. Palliative care is a multidisciplinary approach to care that focuses on communication, shared decision making, and advance care planning; provides relief from pain and other distressing symptoms; integrates psychological and spiritual aspects of care; and offers a support system to help families cope during illness and bereavement. Palliative care has applications across the stages of heart failure, including early in the course of illness, often in conjunction with other therapies that are intended to prolong life. However, the incorporation of palliative care into the management of heart failure has been suboptimal for several reasons: uncertainty in the disease trajectory, failure to reward communication between healthcare providers and patients, siloed care, lack of knowledge, overlay of comorbidity and frailty, life saving devices with complex trade-offs, and a limited evidence base. This review will summarize the current literature on the emerging role of palliative care in patients with heart failure and the challenges and opportunities for its integration into routine care. It will discuss current initiatives and future directions of the collaborative relationship between the palliative care and heart failure disciplines.  
feeds.bmj.com
almost 4 years ago
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6

Palliative care in patients with heart failure

Despite advances in cardiac therapy, heart failure (HF) remains a progressive, highly symptomatic, and deadly disease that places great demands on patients, caregivers, and healthcare systems. Palliative care is a multidisciplinary approach to care that focuses on communication, shared decision making, and advance care planning; provides relief from pain and other distressing symptoms; integrates psychological and spiritual aspects of care; and offers a support system to help families cope during illness and bereavement. Palliative care has applications across the stages of heart failure, including early in the course of illness, often in conjunction with other therapies that are intended to prolong life. However, the incorporation of palliative care into the management of heart failure has been suboptimal for several reasons: uncertainty in the disease trajectory, failure to reward communication between healthcare providers and patients, siloed care, lack of knowledge, overlay of comorbidity and frailty, life saving devices with complex trade-offs, and a limited evidence base. This review will summarize the current literature on the emerging role of palliative care in patients with heart failure and the challenges and opportunities for its integration into routine care. It will discuss current initiatives and future directions of the collaborative relationship between the palliative care and heart failure disciplines.  
feeds.bmj.com
almost 4 years ago
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Canada’s draft law on doctor assisted death is welcomed and criticised

The Canadian government has tabled a new law, Bill C-14, to decriminalise euthanasia and doctor assisted suicide. The draft law has been met with praise and criticism since it was introduced on 14 April.  
feeds.bmj.com
almost 4 years ago
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More Providers Needed to Meet Outpatient Palliative Care Demand

The success of palliative care programs in the outpatient setting exposes a shortage in the palliative care workforce.  
medscape.com
over 3 years ago
Bbdc207d8e2ede7a0690b03f20f66c3f9e4aac491908649427881397
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ABC of Dignity:A

 
Susan
over 3 years ago
Af171d5a952ce9a86769c4c9d2e718e03bab42595596266923130391
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11

ABC of Dignity: D

 
Susan
over 3 years ago
C45746f6b6e5f0ecc0f1cf58a67d3751f7ef76dc07977869640589819
1
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Breaking Bad News

 
Susan
over 3 years ago