Palliative care: Difference between revisions
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'''Palliative care''' is defined in health care as "care alleviating symptoms without curing the underlying disease".<ref name="MeSH">{{cite web |url=http://www.nlm.nih.gov/cgi/mesh/2008/MB_cgi?term=palliative+care |title=Palliative care |accessdate=2008-01-15|author=Anonymous|publisher=National Library of Medicine |format= |work=}}</ref> | '''Palliative care''' is defined in health care as "care alleviating symptoms without curing the underlying disease".<ref name="MeSH">{{cite web |url=http://www.nlm.nih.gov/cgi/mesh/2008/MB_cgi?term=palliative+care |title=Palliative care |accessdate=2008-01-15|author=Anonymous|publisher=National Library of Medicine |format= |work=}}</ref> | ||
[[Clinical practice guideline]]s | [[Clinical practice guideline]]s<ref name="pmid18195338">{{cite journal| author=Qaseem A, Snow V, Shekelle P, Casey DE, Cross JT, Owens DK et al.| title=Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians. | journal=Ann Intern Med | year= 2008 | volume= 148 | issue= 2 | pages= 141-6 | pmid=18195338 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&retmode=ref&cmd=prlinks&id=18195338 }} </ref> The first four recommendations are specifically for patients with serious illness who are at the end of life. | | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&retmode=ref&cmd=prlinks&id=18195338 }} </ref> and a [[systematic review]]<ref name="pmid18195339">{{cite journal| author=Lorenz KA, Lynn J, Dy SM, Shugarman LR, Wilkinson A, Mularski RA et al.| title=Evidence for improving palliative care at the end of life: a systematic review. | journal=Ann Intern Med | year= 2008 | volume= 148 | issue= 2 | pages= 147-59 | pmid=18195339 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&retmode=ref&cmd=prlinks&id=18195339 }} </ref> by the [[American College of Physicians]] make five recommendations to health care providers. The first four recommendations are specifically for patients with serious illness who are at the end of life. | |||
# "Clinicians should regularly assess patients for [[pain]], [[dyspnea]], and [[depression]]." | # "Clinicians should regularly assess patients for [[pain]], [[dyspnea]], and [[depression]]." | ||
# "Clinicians should use therapies of proven effectiveness to manage [[pain]]. For patients with cancer, this includes nonsteroidal anti-inflammatory drugs, opioids, and bisphosphonates." | # "Clinicians should use therapies of proven effectiveness to manage [[pain]]. For patients with cancer, this includes nonsteroidal anti-inflammatory drugs, opioids, and bisphosphonates." | ||
Revision as of 20:34, 25 April 2010
Palliative care is defined in health care as "care alleviating symptoms without curing the underlying disease".[1]
Clinical practice guidelines[2] and a systematic review[3] by the American College of Physicians make five recommendations to health care providers. The first four recommendations are specifically for patients with serious illness who are at the end of life.
- "Clinicians should regularly assess patients for pain, dyspnea, and depression."
- "Clinicians should use therapies of proven effectiveness to manage pain. For patients with cancer, this includes nonsteroidal anti-inflammatory drugs, opioids, and bisphosphonates."
- "Clinicians should use therapies of proven effectiveness to manage dyspnea, which include opioids in patients with unrelieved dyspnea and oxygen for short-term relief of hypoxemia."
- "Clinicians should use therapies of proven effectiveness to manage depression. For patients with cancer, this includes tricyclic antidepressants, selective serotonin reuptake inhibitors, or psychosocial intervention."
- "Clinicians should ensure that advance care planning, including completion of advance directives, occurs for all patients with serious illness."
References
- ↑ Anonymous. Palliative care. National Library of Medicine. Retrieved on 2008-01-15.
- ↑ Qaseem A, Snow V, Shekelle P, Casey DE, Cross JT, Owens DK et al. (2008). "Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians.". Ann Intern Med 148 (2): 141-6. PMID 18195338.
- ↑ Lorenz KA, Lynn J, Dy SM, Shugarman LR, Wilkinson A, Mularski RA et al. (2008). "Evidence for improving palliative care at the end of life: a systematic review.". Ann Intern Med 148 (2): 147-59. PMID 18195339.