Issues relating to the end of life are often a part of caring for older patients in the ED. While there seems like a gulf between the skills of the palliative physician and the emergency physician, working in the ED frequently requires knowledge of the basics of high-quality palliative care. Palliative care is a patient-centered approach that optimizes quality of life by anticipating, preventing and treating suffering associated with serious, life-threatening, or terminal illness.
This module looks at several ED patients to illustrate the basics. An awareness of disease trajectories and how to use it in addressing prognosis. The essentials of having a goals of care discussion in the ED. A review of the best practices in symptom management that are relevant to the ED.
Upon conclusion of this activity, participants should be able to:
- Describe disease trajectories, recognizing their link to prognosis and end-of-life decision making.
- Use disease trajectories to inform discussion of goals of care and advance care planning in the ED.
- Name the key components of an effective goals of care discussion.
- Describe ED-appropriate management for pain, nausea, constipation, dyspnea, and anxiety.
Attendance at this Mayo Clinic accredited course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.
In support of improving patient care, Mayo Clinic College of Medicine and Science, and the Geriatric Emergency Department Collaborative. Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Mayo Clinic College of Medicine and Science designates this activity for a maximum of 1.00 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.