Hospital Medicine

Palliative Care

Questions discussed in this category

How do you recommend counseling patients on the prognosis of advanced cancer as a generalist who is not highly specialized in cancer literature or cancer-directed therapies?

2 Answers available

At what point should you consider deactivating ICDs or implanted pacemakers in patients nearing the end of life but not imminently dying?

Should we consider this as a unique point during goal of care discussions, separate from code status, comfort measures only, etc.?

1 Answer available

What is your stepwise approach to treating constipation in a patient with symptoms such as abdominal pain, nausea, decreased appetite, etc?

What do you start initially, and how do you go about escalating the regimen if constipation persists?

2 Answers available

How do you decide which IV opioid to use for symptom relief at the end of life?

1 Answer available

Do you prefer scopolamine patches, glycopyrrolate, or other treatment regimens to manage oropharyngeal secretions at the end of life?

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

Papers discussed in this category

Journal of palliative medicine, 2012-02

Systematic review of cancer presentations with a median survival of six months or less.

Journal of the American Medical Directors Association, 2022 Mar 23

Post-Acute Care Outcomes and Functional Status Changes of Adults with New Cancer Discharged to Skilled Nursing Facilities.

Palliative medicine, 2022 Jul

The utility of the surprise question: A useful tool for identifying patients nearing the last phase of life? A systematic review and meta-analysis.

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