Palliative Medicine

Primary Care

Questions discussed in this category

How do you determine whether to continue anti-dementia medications (such as cholinesterase inhibitors) for patients with dementia when enrolling in hospice?

3 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/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 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 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

Papers discussed in this category

The New England journal of medicine, 2016-07-14

Olanzapine for the Prevention of Chemotherapy-Induced Nausea and Vomiting.

Practical radiation oncology, 2021 Sep-Oct

Medical Marijuana for Cancer: Perspective From a Radiation Oncologist Credentialed to Certify in Pennsylvania.

Palliative medicine, 2022 Mar 31

Efficacy of medicinal cannabis for appetite-related symptoms in people with cancer: A systematic review.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023 Mar 28

Randomized Double-Blind Placebo-Controlled Study of Olanzapine for Chemotherapy-Related Anorexia in Patients With Locally Advanced or Metastatic Gastric, Hepatopancreaticobiliary, and Lung Cancer.

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2018-02

A Systematic Review of Practice Guidelines and Recommendations for Discontinuation of Cholinesterase Inhibitors in Dementia.

JAMA internal medicine, 2025 May 01

Continued Use of Cholinesterase Inhibitors and Memantine in Hospice.

Alzheimer's & dementia (New York, N. Y.), 2022 Jan 31

CCCDTD5 recommendations on the deprescribing of cognitive enhancers in dementia.

The Medical journal of Australia, 2019 Feb 16

Deprescribing cholinesterase inhibitors and memantine in dementia: guideline summary.

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.

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