Physician's Guide to End-of-Life Care

Developed by the American College of Physicians - American Society of Internal Medicine End-of-Life Care Consensus Panel. Text divided into three sections focuses on practical information in the form of illustrative cases. Topics include communications, relationship building, and the goals of palliative care; evidence-based approaches to pain; and more. Soft.

Introduction

xiii

Timothy E. Quill

Lois Snyder

SECTION I THE INTERVIEW AND RELATIONSHIP BUILDING

Discussing Palliative Care with Patients

3

(16)

Bernard Lo

Timothy E. Quill

James Tulsky

A Consensus-Based Approach to Practicing Palliative Care for Patients Who Lack Decision-Making Capacity

19

(16)

Jason H. T. Karlawish

Timothy E. Quill

Diane E. Meier

Respecting Cultural Differences at the End of Life

35

(21)

LaVera M. Crawley

Patricia A. Marshall

Barbara A. Koenig

Beyond Symptom Management: Physician Roles and Responsibility in Palliative Care

56

(19)

Ira R. Byock

Arthur Caplan

Lois Snyder

SECTION II PAIN, DEPRESSION, DELIRIUM, AND INTRACTABLE PROBLEMS

Management of Pain and Spinal Cord Compression in Patients with Advanced Cancer

75

(26)

Janet L. Abrahm

Assessing and Managing Depression in the Terminally III Patient

101

(23)

Susan D. Block

Diagnosis and Management of Delirium Near the End of Life

124

(15)

David J. Casarett

Sharon K. Inouye

Dying Patients in the Intensive Care Unit: Forgoing Treatment and Maintaining Care

139

(20)

Kathy Faber-Langendoen

Paul N. Lanken

Responding to Intractable Suffering: The Role of Terminal Sedation and Voluntary Refusal of Food and Fluids

159

(19)

Timothy E. Quill

Ira R. Byock

Life After Death: A Practical Approach to Grief and Bereavement

178

(19)

David J. Casarett

Jean S. Kutner

Janet L. Abrahm

SECTION III LEGAL, FINANCIAL, AND QUALITY ISSUES

Legal Barriers to End-of-Life Care: Myths, Realities, and Grains of Truth

197

(17)

Alan Meisel

Lois Snyder

Timothy E. Quill

Financing Care for Those Coming to the End of Life

214

(20)

Joanne Lynn

Anne Wilkinson

Lynn Etheredge

Reforming Care for Those Near the End of Life: The Promise of Quality Improvement

234

(19)

Joanne Lynn

Kevin Nolan

Andrea Kabcenell

David Weissman

Kathleen Casey Milne

Donald M. Berwick

Index

253

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Physician's Guide to End-of-Life Care

Summary

Table of Contents

Supplemental Materials