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General Internal Medicine

Palliative Medicine   

Questions discussed in this category


How do you counsel patients who are concerned that discontinuation of certain chronic medications may actually perpetuate suffering at the end of life?
Do you ever continue medications such as rate-control agents for tachyarrhythmias, anticoagulation for blood clots, immunosuppression to prevent trans...
1 Answer available

What strategies do you find helpful in advanced care planning with patients/families who are very "miracle" centered?
For example, prolonging life-sustaining measures as they "wait for a miracle" of an unrealistic outcome. 
1 Answer available

How do you consider and approach transition to hospice in a patient with HFrEF who does not appear to tolerate GDMT?
3 Answers available

When do you recommend starting a continuous opioid infusion for symptom control at the end of life?
1 Answer available

How do you counsel patients with ALS on the benefits of enteral nutrition?
E.g., PEG tube placement.
3 Answers available
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Papers discussed in this category


Lancet (London, England), 2014-06-14
Hypercaloric enteral nutrition in patients with amyotrophic lateral sclerosis: a randomised, double-blind, placebo-controlled phase 2 trial.

Related Topics in General Internal Medicine

  • Lung Cancer
  • Breast Cancer
  • Head and Neck Cancers
  • Hematologic Malignancies
  • Radiation Oncology
  • Gynecologic Oncology
  • Palliation
  • Neuro-Oncology
  • Gastrointestinal Cancers
  • Genitourinary Cancers

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