Hospital 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

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

How do you decide whether to include a basal rate when initiating a PCA?

How do you subsequently titrate it?

2 Answers 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

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

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

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.

Hospital Medicine

Palliative Medicine

Questions discussed in this category

Papers discussed in this category

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