Palliative Medicine

Questions discussed in this category

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.

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

1 Answer available

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

What are the most common pain regimens that you use in cancer care?

Can you explain the rationale behind your choices? Are there certain patient factors or logistical barriers which influence your approach?

1 Answer available

What is your approach to determining eligibility for hospice in persons with Alzheimer's disease?

1 Answer 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

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

How early do you involve palliative care in the management of a CKD Stage 5 patient who does not wish to pursue renal replacement therapy?

1 Answer available

How do you approach and manage anorexia and appetite loss in people with advanced cancer?

How do you counsel patients and caregivers? Do you prescribe medications (''appetite stimulants'') with the goal to improve appetite even if they do n...

4 Answers available