Title |
Applying palliative care principles and practice to emergency medicine
|
---|---|
Published in |
Emergency Medicine Australasia, November 2015
|
DOI | 10.1111/1742-6723.12494 |
Pubmed ID | |
Authors |
Ian R Rogers, Bill Lukin |
Abstract |
Only recently has the potential (unmet) palliative care (PC) workload in the ED been recognised. While confident in PC symptom management, we underestimate the role of a palliative approach in non-cancer diagnoses and seek education in areas such as individual patient care pathways, ethical and legal issues and difficult conversations at the end of life. PC is best introduced early for a range of life-limiting cancer and non-cancer diagnoses. Allowing patients time to tell their story with active listening, acknowledgement of suffering and a compassionate presence leads to treatment 'success' that is not defined by cure. This patient-centred, rather than disease-centred approach, is the essence of PC, and one that is easily incorporated into emergency practice. PC and disease-specific treatments can comfortably coexist, and with meticulous symptom management, may actually prolong life. PC is everyone's business, and emergency medicine needs to be part of it. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 6 | 38% |
Australia | 3 | 19% |
New Zealand | 1 | 6% |
United States | 1 | 6% |
Unknown | 5 | 31% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 56% |
Practitioners (doctors, other healthcare professionals) | 5 | 31% |
Scientists | 1 | 6% |
Science communicators (journalists, bloggers, editors) | 1 | 6% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 26 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 5 | 19% |
Student > Bachelor | 4 | 15% |
Researcher | 4 | 15% |
Student > Ph. D. Student | 3 | 12% |
Student > Doctoral Student | 2 | 8% |
Other | 4 | 15% |
Unknown | 4 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 11 | 42% |
Psychology | 3 | 12% |
Nursing and Health Professions | 2 | 8% |
Business, Management and Accounting | 1 | 4% |
Agricultural and Biological Sciences | 1 | 4% |
Other | 4 | 15% |
Unknown | 4 | 15% |