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.
机构:
Gdanski Uniwersytet Med, Katedra & Klin Med Ratunkowej, Wydzial Nauk Zdrowiu, Ul Mariana Smoluchowskiego 17, PL-80214 Gdansk, Poland
Fundacja Hosp, Gdansk, PolandGdanski Uniwersytet Med, Katedra & Klin Med Ratunkowej, Wydzial Nauk Zdrowiu, Ul Mariana Smoluchowskiego 17, PL-80214 Gdansk, Poland
Ingielewicz, Anna
Brunka, Zuzanna
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机构:
Gdanski Uniwersytet Med, Katedra & Klin Med Ratunkowej, Wydzial Nauk Zdrowiu, Ul Mariana Smoluchowskiego 17, PL-80214 Gdansk, PolandGdanski Uniwersytet Med, Katedra & Klin Med Ratunkowej, Wydzial Nauk Zdrowiu, Ul Mariana Smoluchowskiego 17, PL-80214 Gdansk, Poland