ITEMS IN AFP WITH KEYWORD:
End of Life Care
For hospitalized patients with acute delirium and symptoms of distress who are receiving palliative care, the use of risperidone (Risperdal) or haloperidol at conservative oral doses worsens symptoms and may shorten overall survival.
Persons with multimorbidity often have unmet multidimensional needs related to their health. For example, Y.S. may also be experiencing poorly controlled symptoms, financial distress, and increasing anxiety. His family is likely distressed by his decline in health and unsure about what to expect nex...
Mar 1, 2016 Issue
When Physician Family Members Are Involved in Patients' Care [Curbside Consultation]
It is not unusual for physicians to care for patients who have physician family members. This can be advantageous for patients, their families, and the clinical team because physician family members often better understand the clinical situation, its severity, and the treatment options. They can als...
Clinicians and surrogates can be faced with challenging decisions when a patient loses the capacity to participate in medical decision making. A significant number of hospitalized and critically ill adults lose decision-making capacity during hospital stays and cannot make treatment decisions.
Learn how to provide safe and effective analgesic relief through the use of pain assessment scales and proper administration of opioid and nonopioid medications.
Family physicians need a basic skill set that includes facilitating discussions on advance planning and goals, identifying and treating depression and anxiety, and managing pain and symptoms at the end of life.
Hospice is a program of care and support for persons facing life-limiting illnesses. Hospice care involves a team-oriented approach to medical care, pain management, and emotional and spiritual support expressly tailored to the patient's needs and wishes.
Palliative care improves the quality of life for patients with a life-threatening illness and for their families. Despite documented benefits, palliative care is underutilized in the management of advanced or terminal illnesses.
Debility not otherwise specified (NOS) has surpassed lung cancer as the most common diagnosis in hospices. In August 2013, the Centers for Medicare and Medicaid Services issued a rule that debility NOS and adult failure to thrive can no longer be listed as principal hospice diagnoses, but rather, secondary comorbid conditions.
Patients prepare advance directives in an effort to maintain autonomy during periods of incapacity or at the end of life. Advance directive documents are specific to the state in which the patient lives, but an effective strategy in the family physician’s office involves more than filling out a form...