General Internal Medicine

Palliative Medicine

Questions discussed in this category

How do you counsel patients/families whose goals of care are clearly aligned with a comfort-focused, end-of-life approach, but who are hesitant to formally enroll in hospice?

4 Answers available

How do you titrate opioids for pain and breathlessness in patients with a DNR/DNI code status, but who otherwise still wish to pursue life-prolonging treatments?

2 Answers available

How do you counsel patients struggling to decide if they wish to pursue an invasive diagnostic procedure to confirm a severe illness with poor prognosis and/or limited treatment options?

1 Answer available

What is your approach to counseling severely frail older adults regarding their planning for invasive life-sustaining therapy?

2 Answers 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

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

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

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.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2002-11

Discussion of the do-not-resuscitate order: a pilot study of perceptions of patients with refractory cancer.

General Internal Medicine

Palliative Medicine

Questions discussed in this category

Papers discussed in this category

Related Topics in General Internal Medicine