The Curbsiders Internal Medicine Podcast | MedEd | FOAMed | Internist | Hospitalist | Primary Care | Family Medicine
#38: Hospice and palliative care: How to manage end of life symptoms
Manage episode 178611244 series 1345893
Recognize and manage end of life symptoms with competence and confidence. In this extensive discussion with Dr. Brooke Worster, Assistant Professor of Medicine at Sydney Kimmel Medical College and Medical Director, of the Palliative Care Service at Thomas Jefferson University Hospitals we discuss scripts for having difficult conversations, managing patient/family expectations, what comes in the hospice “E” kit, terminal delirium, the “death rattle”, air hunger, and more.
Full show notes available at http://thecurbsiders.com
03:10 Rapid fire questions
08:33 Defining hospice and palliative care
11:28 Case discussion
21:28 Gunderson, MI and Respecting Choices
24:25 How to counsel patients about home hospice?
37:10 Hospice “E” kit and how to use it
42:09 Air hunger, terminal delirium, death rattle, and Cheyne Stokes breathing
52:48 What is the PCM’s role while patient is on hospice?
58:19 Cancer survivorship and palliative care
60:33 Take home points
Tags: assistant, care, doctor, end, education, family, foam, foamed, health, hospice, hospitalist, hospital, internal, internist, life, nurse, medicine, medical, palliative, physician, practitioner, primary, resident, student, symptom
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