Physician's guide to end-of-life care / edited by Lois Snyder and Timothy E. Quill for the American College of Physicians-American Society of Internal Medicine, End-of-Life Care Consensus Panel.

Format:

Book

Author/Creator:

American College of Physicians--American Society of Internal Medicine. End-of-Life Care Consensus Panel.

Contributor:

Snyder, Lois, 1961-

Quill, Timothy E.

Language:

English

Subjects (All):

Terminal care.

Physician and patient.

Terminally ill--Care.

Terminally ill.

Hospice care.

Terminal Care--methods.

Hospice Care--methods.

Palliative Care--methods.

Physician-Patient Relations.

Medical Subjects:

Terminal Care--methods.

Hospice Care--methods.

Palliative Care--methods.

Physician-Patient Relations.

Physical Description:

xx, 267 pages ; 23 cm

Place of Publication:

Philadelphia : American College of Physicians, 2001.

Summary:

Patients want better end-of-life care, and physicians want to provide it. But in a society where high-tech interventions are often emphasized, moving from curative treatment to comfort care is sometimes difficult. Often, patients in the last phase of life want both continued aggressive treatments and the benefits of palliative care measures. Many physicians have never been trained in end-of-life care. It is a challenging area but one in which clinicians can enhance the quality of life for seriously ill patients.

Developed by members of the ACP-ASIM End-of-Life Care Consensus Panel, Physician's Guide to End-of-Life Care is divided into three sections containing clearly focused, practical information with illustrative cases. Topics include communications, relationship building, and the goals of palliative care; evidence-based approaches to pain, depression, and delirium; intractable suffering; and legal, financial, and quality issues. Palliative medicine should be a core clinical skill for all physicians who care for seriously ill patients. Physician's Guide to End-of-Life Care contains the authoritative information that can help.

Contents:

Section I The Interview and Relationship Building

1 Discussing Palliative Care with Patients / Bernard Lo, Timothy E. Quill, James Tulsky 3

2 A Consensus-Based Approach to Practicing Palliative Care for Patients Who Lack Decision-Making Capacity / Jason H. T. Karlawish, Timothy E. Quill, Diane E. Meier 19

3 Respecting Cultural Differences at the End of Life / LaVera M. Crawley, Patricia A. Marshall, Barbara A. Koenig 35

4 Beyond Symptom Management: Physician Roles and Responsibility in Palliative Care / Ira R. Byock, Arthur Caplan, Lois Snyder 56

Section II Pain, Depression, Delirium, and Intractable Problems

5 Management of Pain and Spinal Cord Compression in Patients with Advanced Cancer / Janet L. Abrahm 75

6 Assessing and Managing Depression in the Terminally Ill Patient / Susan D. Block 101

7 Diagnosis and Management of Delirium Near the End of Life / David J. Casarett, Sharon K. Inouye 124

8 Dying Patients in the Intensive Care Unit: Forgoing Treatment and Maintaining Care / Kathy Faber-Langendoen, Paul N. Lanken 139

9 Responding to Intractable Suffering: The Role of Terminal Sedation and Voluntary Refusal of Food and Fluids / Timothy E. Quill, Ira R. Byock 159

10 Life After Death: A Practical Approach to Grief and Bereavement / David J. Casarett, Jean S. Kutner, Janet L. Abrahm 178

Section III Legal, Financial, and Quality Issues

11 Legal Barriers to End-of-Life Care: Myths, Realities, and Grains of Truth / Alan Meisel, Lois Snyder, Timothy E. Quill 197

12 Financing Care for Those Coming to the End of Life / Joanne Lynn, Anne Wilkinson, Lynn Etheredge 214

13 Reforming Care for Those Near the End of Life: The Promise of Quality Improvement / Joanne Lynn, Kevin Nolan, Andrea Kabcenell, David Weissman, Kathleen Casey Milne, Donald M. Berwick 234.

Notes:

Includes bibliographical references and index.

ISBN:

1930513283

OCLC:

46359840